Name Change

Name Change
This form is for students who have legally changed their name. You will be required to upload a copy of your drivers license or other government issued photo ID.

If you are an employee (including ASU work-study employees) please contact Human Resources to update your name instead of completing this form.
ASU STUDENT*

PresentlyPreviously
ATTENDED PRIOR TO FALL, 1991?*

YesNo
GENDER*

CIS WomanCIS ManTrans WomanTrans ManNon-Binary/genderqueerTwo SpiritGender FluidAgenderPrefer not to discloseNot Listed
BIRTHDATE*

MonthDayYear
Date
STUDENT ID*
900XXXXXX
NEW LEGAL NAME*

First NameMiddle NameLast Name
OLD NAME *

First NameMiddle NameLast Name
PREFERRED FIRST NAME FOR INSTITUTION
If you wish to specify a name other than your legal name, no documents are required
CURRENT MAILING ADDRESS *

Street Address

Street Address Line 2 (Optional)

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Signature*

Clear
File Upload- Please provide your government issued photo ID*

Cancelof
Should be Empty: