Name Change Request
Once you submit this form, please e-mail a copy of your updated driver's license and a copy of your marriage license (if applicable) to registrar@rc.edu.

Requests cannot be processed until we receive this documentation.

Previous Name *
Your answer
Current Name *
Your answer
Last Four of Your Social Security Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Submit
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