Fillable Change of Name PREVIOUS Student Name (Cambridge College Massachusetts)

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Change of Name PREVIOUS Student Name (Cambridge College Massachusetts)

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Change of Name
If you are receiving nancial aid,
your name MUST MATCH Social Security
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Phone: 617.873.0101
Fax: 617.242 0026
registrar@cambridgecollege.edu
PREVIOUS Student Name
Last name _________________________________________ First name _________________________________ Middle name _________________________
Cambridge
College e-mail _________________________________________________________________________ Date of Birth (mm/dd/yyyy) _________________________
Personal e-mail __________________________________________________________________________________________________________________________
NEW Student Name
Last name _________________________________________ First name _________________________________ Middle name _________________________
Please note: The College will change your Cambridge College gmail address accordingly.
Current Residence
Is this a new address/phone? Yes No
Address ________________________________________ Apt _______________
City ______________________________ State ________ Zip _______________
Phone ____________ ______________________________________________
Student Signature
on paper printout or electronic* _______________________________________
Date _____________________________________________________________
*Please see electronic signature options on the Registrar's web page
05/30/20
Ocial documentation required
Students wishing to change their names must provide legal docu-
mentation showing the reason for the change, as well as a written
version of the new name. Acceptable documents include marriage
certicates, divorce papers, passports, Social Security cards and
other court-issued documents. (Driver's licenses and state IDs will
not be accepted as proof of name change.)
Students should send the request in writing and include their student
ID number and/or other identifying documentation if the ID number
is unknown.
Once a student graduates, the record is closed; name changes are
not possible unless the student is reapplying for a new degree.
See policy – www.cambridgecollege.edu/
red-ag-identity-theft-prevention
Registrar's Oce use only
Original ocial documentation shown by student
Social Security card
Marriage license
Divorce decree
Passport
Other court-issued documents _______________________________
Date entered
Entered by
Bring completed form and ocial
documentation (originals only) to:
Or email to:
registrar@cambridgecollege.edu
Or fax to:
617.242.0026
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Student ID#________________________
Your Cambridge College Location
Boston
Lawrence
Springeld
Puerto Rico
Southern California
NEIB
Other_____________
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Change of Name PREVIOUS Student Name (Cambridge College Massachusetts)

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Completed 20 May 2021

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