Name Change Request - Student Form

Student Name Change Request Form

Please complete the form below and click Submit Form. Upon submission, the form will be reviewed and then forwarded to the Registrar's Office for confirmation.

* Indicates a required field

Former Middle Initial:

Middle Initial:

Wesleyan ID Number*:

*Has the person identified above had his/her name legally changed through the appropriate government agencies?

Please note: If you indicated "No", the form cannot be processed. Legal name change is required prior to form submission.

*Has the person identified above submitted the appropriate legal documents to and had the name change officially approved by the Registrar's Office?

Please note: If you indicated "No", the form cannot be processed. Please contact the Registrar's Office for more information.

Please select all the network resources that the person identified accesses*:

Important: You are responsible for saving, then restoring, all email and data prior to the accounts under the old user ID being terminated.

Please allow 10-15 business days for processing.

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