Legal Name Change Form

This form is used to update or change your legal name in our student information system (Banner). Please complete this form and provide one legal document which accurately reflects your new legal name. Acceptable documentation may include Social Security card, passport, or other legal court documentation.

Student ID
Email
Current Name in student information system (Banner) Current Name in student information system (Banner) First Middle Last
New Legal Name New Legal Name First Middle Last
Upload a copy of your documentation

Attach Files
The information provided on this form and attached documentation represent accurate and legally acceptable proof of my name. By signing below, I hereby request the University to update my student records to reflect this name.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY