UMUC

Student Request for Change of Name

Changing your name is a two-part process at UMUC.

First, you need to complete this form and submit it.
Second, you must print the completed form and mail it, along with proof of your name change (copy of your driver's license, marriage certificate, employee identification, etc.), to

Registrar's Office
University of Maryland University College
3501 University Boulevard East
Adelphi, Maryland 20783 USA

*Required fields

*Student identification number

Name as it currently appears on your records
*Last	*First	Middle


Name as you want it to appear on your records from now on
*Last	*First	Middle

*Address to which correspondence should be sent



*Daytime phone (with area code)	*Evening phone (with area code)


*Date of birth	*E-mail address

Other UMUC accounts to reflect your name change:

Polaris e-mail account	If you do not receive financial aid, or if you choose not to change your name in Nova, Polaris, or WebTycho, leave those check boxes blank.
Nova e-mail account
Financial Aid records (required for those receiving financial aid)
WebTycho account

Important Note About WebTycho

Any changes to your WebTycho user name will remove your edit access to all class work (including past classes) made with your old user name. In other words, you will start the class as a new student: although the old postings will be there, you will be unable to edit them, and in the case of saved and submitted Assignments you will be unable to see them. Your old Portfolio will be replaced with a new, empty Portfolio for the “new student” (you) to begin filling up. Note that faculty members retain access to the old Portfolio for grading purposes.

For this reason name change requests are held and made between semesters after grades are posted. In the event that you are enrolled in classes whose semester dates overlap so that you will not be between semesters for some time, you may contact WebTycho Support for guidance. Likewise, if you wish to request name change mid-semester and accept the difficulties described above, please contact WebTycho Support at 1-800-807-4862 or webtychosupport@umuc.edu.

I intend to continue to use the new name indicated above consistently and have not adopted this name for any fraudulent purpose.

_______________________________________________	____________________________
Signature	Date

� 1996-2005 University of Maryland University College
3501 University Blvd. East
Adelphi, Maryland 20783 USA