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Home > Records > Forms > Request for Change of Name

Request for Change of Legal Name

Fill in the blanks of the form below. After it has been completed, click the submit button at the bottom to send the form to Records and Advisement.

  
Student ID Number:  
     
Contact Phone:  
     
Email:  
       
Purpose: Marriage  Annulment  
  Divorce Birth Name  
  Other:
     
Current Name: First: 
  Middle: 
  Last:
     
New Name: First:
  Middle:
  Last:
   

My spouse is/was a student at Southern Adventist University:

Your spouse's ID number:  

Yes

No

Note: Remember that a photocopy of the appropriate legal document (marriage license/certificate, court order, etc.) is required and can be hand-delivered, emailed, mailed, or faxed to Records and Advisement.  Driver's licenses are not acceptable for any name changes.  Social Security card or a valid passport may be acceptable in some situations.  Send faxes to 423.236.1899.  Send emails to mswanson@southern.edu.

If you are mailing the legal document please send it to the following address:

      Southern Adventist Universtiy
      Records & Advisement
      PO Box 370
      Collegedale, TN 37315

For verification purposes, please enter the last four digits of your Social Security Number in the field below. Your changes CANNOT be processed without this verifcation.

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