CCNM Name Change Form

CCNM Name Change Form

***FOR WITHIN CCNM ONLY*** Any updates to student financial aid or entities outside of CCNM are the responsibility of the student.

CCNM requires one or more pieces of valid government-issued photo identification. Please see 'Required Documentation' below for each type of name change request.

REQUIRED DOCUMENTATION:
The official documentation required for each type of name change is listed below:

Legal Name Change by Marriage: Canadian or foreign (must be translated to English and notarized) marriage certificate; or divorce order or judgment.
Legal Name Change, other: Certificate or court order made under a provincial change of name act or under similar legislation.
Return to Maiden Name: Birth certificate and governmental-issued photo ID (i.e. passport or driver's license).
Preferred First Name and/or Last Name Change: Government-issued ID to validate the individual making the request

The submission of this form is sent to the Student Services/Registrar Office. For any questions please email info@ccnm.edu.

By completing this form, you agree to the following:

ANY changes to your name will be reflected on your official academic record, transcripts, diploma, verification letters, physical/electronic files, clinic contacts etc.
Changing your name to something other than your formal legal name may result in complications with the verification of your credentials and transcripts for things like job applications, student loans, taxes, and/or professional licensing bodies. It is the sole responsibility of the student or graduate to resolve or deal with issues resulting from a name change.
Your student card must match your current active name in SONIS (legal or preferred). Valid government-issued photo ID must be presented to Student Services to verify the individual making the request. Your previous student card must be surrendered, to receive an updated card. Student card replacement fees will apply.
CCNM IT systems use a standard email configuration for identification purposes. This ID cannot be changed once a student has started the program. However, your 'display name' can be modified upon request (if indicated in your response below), to reflect the change you have requested here.
Please note, your photo ID must be currently valid and match the name on the CCCNM's record system.

I have read and understood the information above and accept the terms of the name change request.*

YES

CCNM Campus:*

CCNM Student ID # *

Example (SN1234567)

Current status at CCNM:*

Graduation Status:*

Name CURRENTLY on file with CCNM: *

First NameMiddle NameLast Name

UPDATED Legal or Preferred name(s):*

First NameMiddle NameLast Name

I would like to change my 'display name' in the various CCNM systems to match this request.

YESNO

Official Documentation Required*

Example: Marriage certificate, birth certificate, licence, passport

By signing and submitting this form you acknowledge:

I acknowledge that the new name will be used on your official academic record, transcript, and diploma.

I acknowledge that I understand and agree that changing my name to something other than my formal legal name may result in complications with the verification of my credentials and transcripts for things like job applications, student loans, taxes, and/or professional licensing bodies.

I agree that it is my sole responsibility to resolve or deal with issues resulting from a name change including if my name has been changed to something other than my formal legal name (e.g., preferred name).

I acknowledge that all information I have provided is accurate and that misrepresentation may impact my registration status.

I acknowledge that I may have to provide additional forms and documentation as requested.

I agree to abide by the conditions laid out in CCNM Academic Calendar.

I agree to provide the appropriate documentation and government-issued photo ID to change my legal name(s) and/or preferred name(s) in the CCNM Student Information System.

Signature*