Name Change Form
Fill out the form fully and attach all necessary documents in order for our office to process your name change. Any questions contact records@nccc.edu or call 518-891-2915 ext. 1689.
Current Name
*
First Name
Middle Name
Last Name
New Name:
*
Student E-mail
*
records@nccc.edu
Phone Number
*
File Upload
*
Browse Files
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Choose a file
Upload a copy of your Driver's License and Social Security Card.
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of
Signature
*
Submit
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