Request for Name Change

A copy of the legal name change must be attached with this form. The Registrar's Office will notify you via CBU email or alumni email when the name change is complete.

Name Name First Middle Last
Student ID #
Must be 9 digits. Currently Entered: 0 digits.
Date of Birth Date of Birth * / MM / DD YYYY
CBU Email (Current Students)
Alumni Email
Phone Phone * - ### - ### ####
Student Level

Student Level Undergraduate Graduate
Have you applied for graduation?

Have you applied for graduation? Yes No
Are you an Alumni?

Are you an Alumni? Yes No
When did you last attend CBU?
Change Name To: Change Name To: * First Middle Last
Reason for change *
List All Former Names
Upload Legal Documentation *

Attach Files

Please be aware that legal documentation is necessary to complete a name change request. If you do not or cannot upload documentation with this request, you will need to bring documentation to the Office of the Registrar in order for your request to be completed for processing.
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