Change of Name Form


Change of Name Form - Rackcdn.com647e41f17ada9e9f73d6-42340dae122558240c1ac0dbd156c900.r24.cf2.rackcdn.com/...

2 downloads 360 Views 61KB Size

Bluefield College Change of Name Form

Former Student Name ___________________________________________ Student ID

___________________________________________

New Name

___________________________ Phone #________________ ___________________________ ___________________________ ___________________________

Reason

___________________________ ___________________________ ___________________________ ___________________________

Signature (Hand-Sign) ___________________________ Date___________________

Must include a copy of official documentation showing the new name. For Example: A. Driver’s License B. Marriage Certificate C. Social Security Card

Bluefield College  3000 College Avenue  Bluefield, VA 24605