Change of Name

Change of Name
Name*

First NameMiddle NameLast NameSuffix
Student ID#*
Phone*
Which name needs to be updated?*

Legal NamePreferred Name
McKendree Email*
example@mckendree.edu
Personal Email*
example@email.com (Use Personal Email Address)
Which best defines your status at McKendree University?*

Current StudentGraduateWithdrawn Student
New Name*

First NameMiddle NameLast NameSuffix
Name Changes MUST be accompanied by a copy of your Social Security Card AND one of the following ID's:
- Marriage Certificate
- Birth Certificate
- Driver's License
- Dissolution of Marriage Document
Attach your Social Security card and additional form of identification here:*

Cancelof
Do you need to update your address too?

YesNo
Address to be changed:

BillingHomeLocal (address during school year)Other
Old Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
New Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
IMPORTANT NOTICE

Immediately after your name is changed in our system our Information Technology Department will change your username. Your new username and email address will be sent to the email address you provided. Your password will not be changed.
Please use the space below to enter any additional information or comments. If you are required to send a revision, you may use this box for your additional information.
Should be Empty: