Updated March 2019
Preferred/Chosen First Name Change Request
If you are an NWACC employee, you must contact Human Resources for all information changes.
NWACC recognizes that students may wish to use a name other than their legal first
name. When requested, the college will use a preferred first name on certain
documents and most online information sources. The student’s legal name will remain
on their permanent records, including but not limited to: academic, employment, and tax
records. Students may not designate a preferred last name. Students may file a legal
name change by completing the Change of Information Form and providing the required
documentation.
This request will change your first name in the following locations:
NWACC email display name. (Email address will remain the same)
Success Planner
Canvas
Class Rosters
Legal Name: _________________________ Date of Birth: ________________
Student ID or SSN: ____________________ Phone: ______________________
NWACC Email: _________________________________________
Preferred/Chosen First Name: ________________________________
By signing below, I am verifying that I have read the information above and understand
the uses of the legal name and preferred first name. I understand the use of a preferred
first name can be denied at the discretion of college administration if deemed
inappropriate. Any student found to have abused this service for the purposes of
fraudulent representation may be subject to a student conduct investigation.
Student Signature: ____________________________ Date: _______________
(Proof of identification must be provided at time of submission. If mailing include copy of valid Photo ID)
Mail Form and Documents to: Student Records Office, One College Drive, Bentonville, AR 72712
Turn in at: Enrollment Support Center located on the 2
nd
floor of the Becky Paneitz Student Center or at the
Washington County location.
Upload the document to our dropbox: (You must have My NWACC Connection login.)
