CGCC Application

CGCC Name Update Form

Students can update their name in CGCC's information system to reflect their preferred name or to officially change their legal name.
Instructions
- Complete this form
- Click 'submit'
- Upon submission, Student Services will send a confirmation asking you to verify your preferred name. You must respond to the confirmation for your name to be changed.
- If changing your legal name (first and/or last), provide the required documents to Student Services.
Personal Information
Student ID Number*
Student (CGCC) Email*
example@example.com
What type of name change are you requesting?*

Change to Preferred First Name (Only)Legal First Name ChangeLegal Last Name ChangeLegal First and Last Name Change
Current Full Name (Currently on Record)*

Legal First Name*Middle Name (If applicable)Last Name*
Change Name to (the name you prefer to be called at CGCC)*

Preferred First Name or New Legal First NameLegal Last Name
If you are changing your legal last name, you'll need to provide Student Services with one of the following official documents:
1. Signed Social Security card displaying the new name or
2. Official Name Change Document, such as a:
  - Divorce decree
  - Marriage license
  - Immigration document
  - Court order for a name change
Preferred Name*
Name you prefer to be called at CGCC.
Would you like your CGCC student email address to be updated to reflect your name change?*

YesNo
Verify and Submit
By signing this form, I certify:
- That I have read this form or had it read to me.
- That the information I have completed accurately represents my personal information and no one else's.
- That I agree to authorize CGCC to update the personal information I have provided in this form.
Please verify that you are human*
Should be Empty:

CGCC Name Update Form

Instructions

Personal Information

Verify and Submit