EmailMeForm
Student Name Change Form
Current First and Last Name:
*
Required
New First and Last Name:
*
Required
Student Number:
*
Required
Email Address:
*
Required
Date for Name Change to Occur:
*
MM
/
DD
/
YYYY
Required
DISCLAIMER:
I hereby understand the following:
1) This requested name change will occur at midnight of the day requested
2) Please note: it could take up to 24 hours to go live
3) The new username will now be used to log into Canadore resources
I confirm that this information is correct:
*
I confirm. Please accept this as my signature.
Required
Upload copy of Government issued photo ID
*
FOR OFFICE USE ONLY
Admissions Office Representative Signature
Today's Date
MM
/
DD
/
YYYY
