Office of Admissions & Records
1530 West 17
th
Street, Santa Ana, CA 92706
www.sac.edu
Adm_Records@sac.edu
Preferred Name Change Form
Complete the following information (please provide your legal name as it currently appears on your student records):
Student Name: _ Student ID#: _
(Last) (First)
Student Signature: Date:
SAC | A&R | 2/20/19
IMPORTANT: Only a student’s first name may be changed to a preferred name. A student’s preferred name will be used on the class roster and their legal
name will remain, and appear on all college records. Please be advised that changing your preferred name is not the same as legally changing your name. If
you have had a legal name change, please complete the “Legal Name Change” form and provide supporting legal documentation.
New Name (first name only):
FOR OFFICE USE UPON RECEIPT
ID Verified: Updated BIO (Chosen LFM): _ Updated NAE (Preferred Name):
Instructor(s) Notified: Canvas Notified: _ Staff Initials: _ Date: _
click to sign
signature
click to edit
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