Contact Student Records at 828.448.6049 if you need an alternative method to complete this form
Office of Admissions and Records, 1001 Burkemont Ave., Morganton, NC 28655
Attn: Wesley Kaylor, firstname.lastname@example.org or Cathy Williams, email@example.com
Fax Number: (828) 448-6179
NAME CHANGE FORM
Name Changes will be processed at the end of the current term and will be effective prior to the upcoming term.
Name Changes require official supporting documents before being processed.
STUDENT NAME: ___________________________________________________________________
(How it currently appears in your WPCC records)
STUDENT ID #: ______________________________ DATE: ______________________
BIRTHDATE: _____________________CONTACT PHONE #: ______________________
Name (To be changed to): __________________________________________________________
Student Initials (required for changes to be processed):__________
Need to change your Address or Telephone Number?
Step-by-step directions can be found by going to Pioneer Pass > Click on Directions >
Click on Update My Contact Information (Address/Phone)? Students are
encouraged to review their address and telephone numbers to ensure your records
are up to date.