Change of Personal Information

Current Name
Previous Address (to be inactivated)

Information to Change or Add

*A preferred name is the name a student wishes to be known by in the CCSNH System that is different from a legal name. It is not meant to be used to record a nickname (e.g. Jimmy for James). CCSNH preferred names applies to first names only. Any surname changes will need to be done through the legal name process.
Initial if changing name. Otherwise, leave blank. My initial here indicates that I am aware changing my first name, first initial, or last name will impact my excess to SIS, WMCC email address, CANVAS, etc. I will contact WMCC IT Support at to receive my updated username. I will inform my instructors of my name change.
MM slash DD slash YYYY