LOGO_3 


Current Legal Name 
(Please Print): 

 

Graduation Year (Expected): 

CUNYfirst ID: 



Preferred Name Request Form 

 

 

 

 

 

 

 

 

 

 

. 

I request that the following name be recorded as my Preferred Name in the Student System. 

 

Return this completed form to: 

Office of the Registrar 

Shuster Hall, Room 102 

 

 

Preferred Name*: 

 

 

 

 

First Middle 

 

 

*Please note that only first and/or middle names may be requested. Please select names that you would be 
comfortable using in the classroom and other CUNY settings. 

 

 

While CUNY recognizes the importance that a change of name might have to students during their time with the 
University, a preferred name is not a legal name, but is generally used to change how others refer to you. For this 
purpose, students may identify a preferred name to be recorded in the student system. No documentation is 
required to have a preferred name recorded. Documents and records that may display a preferred name include, 
among other things, course rosters, student identification cards, student email addresses, and other documents 
issued by the University. A preferred name will not be reflected on, among other things, a student's official 
academic record, diploma, or transcript. To change the name (including last name) that is displayed/reflected on 
official academic record, diploma, or transcript students must follow the instructions on the Personal Data 
Change Request Form available in the Office of the Registrar. Official and legal name changes require specific 
documentation outlined on that form. 

 

Please initial here to indicate you have read and understand the paragraph above. 

Signature 

 Date