Name Change Form | Redeemer University

Redeemer University issues official documents at your request. We require official verification if you have a name change, and want this new name reflected on these documents (transcripts, proof of enrollment letters, etc), and also in the records held in the Registrar’s Office.
New Name * Required
First Middle Last
Previous Name * Required
First Middle Last
Birth Date * Required
Provide for identification verification.
MM slash DD slash YYYY
Provide Student ID Number (if known)
Current Mailing Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number * Required
Email Address * Required
A confirmation email will be sent to this address.
You are: * Required
- Currently a student
- Former student or alumni
Upload document * Required
Provide a copy of your driver’s license, marriage certificate, or any other official documentation that has your new name.
Max. file size: 100 MB.
Signature * Required
By providing your name, you verify that the information above is correct.
First Last