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
Wesleyan ID Number*:
Local Phone 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 5+ business days for processing.