Office Of The Registrar Name, Gender And Social Security Change Form
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1PLEASE ALLOW 3-5 BUSINESS DAYS FOR PROCESSING
Updated: 6/10/2016
Office of the Registrar
Name, Gender and Social Security Change Form
First Name:__________________ Middle Name:________________ Last Name:___________________
(AS IT CURRENTLY APPEARS ON ALL KSU RECORDS)
KSU ID:___________________________ Net ID:________________________ @students.kennesaw.edu
Petitioned to Graduate: Yes No
NEW LEGAL NAME:
First Name:__________________ Middle Name:________________ Last Name:___________________
Check Reason for Change:
Change of name due to Marriage requires an original or certified copy of your marriage certificate or
current Social Security card reflecting your new name AND a government-issued photo ID reflecting
your new name.
Change of name due to Legal Change requires an original or certified copy of the court order or
current Social Security card reflecting your new name AND a government-issued photo ID reflecting
your new name.
Change of name due to Divorce requires an original or certified copy of divorce decree or current
Social Security card reflecting your new name AND a government-issued photo ID reflecting your new
name.
Change of name due to Adoption requires an original or certified copy of court order or current
Social Security card reflecting your new name AND a government-issued photo ID reflecting your new
name.
Change of name due to Spelling Error requires an original or certified copy of your birth certificate or
current Social Security card reflecting your name AND a government-issued photo ID reflecting your
name.
Change of name due to Gender Change requires an original or certified copy of the court order AND a
government-issued photo ID reflecting your new name.
Change of Social Security Number requires your current original Social Security card (no copies
accepted) AND a government-issued photo ID.
OLD SSN:
NEW SSN:
Student Signature:______________________________________________________ Date:__________
Return this form to the Office of the Registrar In-Person Marietta, building B or Kennesaw Hall, Rotunda. Students will be notified via their KSU
student email account once the information has been updated.
Acceptable Government Issued Photo ID’s are as follows:
Driver’s License issued by DMV, U.S. Passport, U.S. Passport Card, U.S., Permanent Resident Card, Foreign Government-Issued
Passport, Immigration and Naturalization Service Employment Card (I-766), Certificate of Naturalization
Office of the Registrar Use Only
Initials:___________ Date:_____________
Comments:________________________________________________________________________________
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