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Change of Name

* = required field

Change Of Name Request

Date: 04/16/2014

Student ID Number:


Change of Name:

Former Legal Name

First: Middle: Previous Last:

Change of Name:

Current Legal Name

First: Middle: New Last:



Attach legal

documentation here:

Attach legal

documentation here:

NAME CHANGE POLICY: Name change requests, including the addition or removal of a married name, require appropriate legal documentation. Appropriate legal documentation is one of the following: a court order, marriage certificate, birth certificate or passport.

PLEASE NOTE: If you are a financial aid recipient, proof of authenticity must also include a Social Security Card with the new name reflected on it, in addition to one of the above listed requirements.

A member of the Minnesota State Colleges & Universities System. An Equal Opportunity Educator and Employer