Name Change Request Form

KSU Service Desk Request Form for Name Changes

*Please fill out completely

Your Old Full Name:

Your KSU #:

Your Login (NetID):

Your New Full Name:

Please Check the boxes that Applies to you:
(You can check more than one)

Student Faculty Staff

For Students:

Have you filled out a Name Change request with Registrar's Office?

Yes No I'm not a Student

For Faculty and Staff:

Have you filled out a Name Change request with Human Resources?

Yes No I'm not a Faculty or Staff

Check the following systems that you use:

AGS	Nolij Web
Banner INB	PeopleSoft
Kronos	PeopleSoft Financials
KSU Connect	PeopleSoft HRMS
KSU Web	Student Email
NetId

Email Address:

Phone Number:

Alternate Email Address

Note: Once you click SUBMIT your request will be automatically sent to the Service Desk and you will be contacted at the email address/phone number you provided.

*Please Note: Name changes for students take place at the end of each semester.
Name changes for Faculty/ Staff will be coordinated across systems, but may have to wait until the end of the semester if you are using WebCT.