Name Change Form

Name Change Form
To request a name change or correction, please complete the Name Change Form below.

You must include a clear photo of a valid, government-issued photo ID or U.S. Passport that reflects your requested name.

Please note:
- Requests submitted without proper identification will not be processed.
- If you are currently enrolled in classes, your name change will be processed after the end of the current semester.
Current Name in Cardinal Connect:*

First NameMiddle NameLast Name
Updated Name for Cardinal Connect:*

First NameMiddle NameLast Name
Do you want your Cardinal ID to reflect this name change?*
If yes- provide personal email address below. If currently enrolled in classes, Cardinal ID change will be processed at the end of the semester.
Personal email address:
TVIN:*
Trinity Valley Identification Number (7 digits)
Current Cardinal ID:*
example@tvcc.edu
Date of Birth:*

MonthDayYear
Date
Upload photo (jpg or pdf) of valid government issued photo ID reflecting name change:*

Browse Files

Cancelof
Signature*

Clear
Name change request forms submitted without valid identification will not be processed.
Should be Empty: