Name Change Form

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PERSONAL INFORMATION* This field is requiredPlease provide the requested information below. The "Preferred First Name" is used for email accounts, D2L, and on ID cards.
Student Email Address (@panthers.greenville.edu)
Student ID Number (EX: 111999999)
Birth/Previous Name
New Legal Name
Preferred First Name
Secondary email address or phone number: Used to communicate changes to your school email address
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2
OFFICIAL DOCUMENTATION* This field is requiredHow would you like to provide documentation? Accepted forms of official verification are restricted to marriage certificate, social security card, court/legal document, or passport.
Take picture of document
Upload a file
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3
TAKE PICTURE OF DOCUMENT:* This field is requiredAccepted official documents are restricted to marriage certificate, social security card, court/legal document, or passport.
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4
UPLOAD FILE:* This field is requiredUpload a scan or picture of an official document. Accepted official documents are restricted to marriage certificate, social security card, court/legal document, or passport.
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Select files to upload
Max. file size: 10.6MB
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