Student User
ID
Change
Form
ID
#:
Guilford
Technical
Community
College
P.
O.
Box
309,
Jamestown,
NC
27282
NOTE: User ID changes are ONLY done in-between semesters. Name changes can be done at any time by
completing a Name Change Form with Enrollment Services. You MUST provide an alternate email address if
you wish to be informed when the User ID change has occurred. Current GTCC email account WILL be deleted
and CANNOT be recovered once new User ID is created. Changes cannot be made without Student ID entered
in the boxes above.
Reason
For
User
Name
Change
Request:
(
)
Correction
(
)
Marriage ( )
Divorce ( )
Court-Action
Current User Name:
(please
print)
__________________________
_______________________
_____________________________________
(First)
(Middle)
(Last)
Alternate
Email
Address For Notification:
___________________________________________________
Legal New Name:
(please
print)
__________________________
_______________________
____________________________________
(First)
(Middle)
(Last)
Authorization
-
Please
read
and
sign:
I
have
read
this
form
and
authorize
the
changing
of
my
User
ID.
I
Understand
that
my
current
email
box
and
messages
will
be
deleted.
Signature:
_______________________________________
Date:
___________________________
For
Office
Use
Only:
This
form
must
be
submitted
to
the
Enrollment
Services
Office and
signed
by
the person the accepts the form.
Name:______________________________________
Date:
______________________________
07/12
click to sign
signature
click to edit
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