Preferred Name Change Request Form

Access and Inclusion can help facilitate a name change request on your behalf. This can be processed prior to your program beginning, or at any point throughout your time with us at Canadore. It is extremely important to us to ensure that you are identified properly in our hallways, classrooms, and all other extensions of our Canadore community.

Legal/Dead Name (required)

First Name

Last Name

Student Number (required)

Program (required)

Email Address (required)

Preferred Name: (required)

Would you like to be added to the Access & Inclusion monthly newsletter?

Yes

Do you have any other question, concerns or comments that I can assist you with?

Yes

If Yes, Pease explain:

Important Information

When successfully carried out, your dead name/legal name will be changed to reflect your preferred name on all of your front-facing iLearn components.

This will include

Class lists
Discussion Boards
Drop Boxes
iLearn student profile

Note:
Additionally, one’s preferred name can be reflected on your bus pass/student card! If you’re able to login to Self Service ahead of your program start, please update your account information and your bus pass/student ID will be produced with your preferred name. If you weren’t able to do so ahead of time, please reach out to Access and Inclusion and we’ll help you to be re-issued a new ID card.

If a student decides to change their name legally our admissions team can facilitate a system-wide change for all of their college documentation (transcripts, diplomas, etc.) – at that point in time, Access and Inclusion can help facilitate this process with student consent.

Preferred Name Change Request Form

FORM

Important Information