Lehigh University Chosen Name Update
Please complete the form below to update your chosen name in applicable Lehigh University databases.

Additionally, we have updated the university’s Banner system to allow for the storage of diacritical marks, also known as special characters in names (i.e., Renée). If your chosen name includes a special character, please include that in your name below.

Please note, if you have submitted a “Preferred First Name” via Self-Service Banner in the past, this name has been added to the new chosen first name field with your legal last name. Should you wish to update that name and/or your middle and last name, please complete the form below.

If you are interested in submitting a legal name change to the university, you can learn more about that process here: http://go.lehigh.edu/UpdatePersonalInfoHowTo

If you have questions or would like more information, please contact The Pride Center for Sexual Orientation & Gender Diversity at pridecenter@lehigh.edu and/or the Chosen Name/Gender Identity Working Group at datagovernance@lehigh.edu.
Email *
LIN *
Lehigh Email *
Primary Lehigh Role *
Chosen First Name (if this this not identified, your legal first name will continue to be used in Lehigh databases)
Chosen Middle Name (this is optional, if no middle name is provided, none will be used in your chosen full name in the Lehigh databases, if you go by your middle name as your first, please enter that in the first name category and leave this one blank)
Chosen Last Name (if this this not identified, your legal last name will continue to be used in Lehigh databases)
Would you like a new Lehigh ID card? 

If you select yes, more information will be sent to you via email. 

Please note: In some contexts, you may be asked to provide your Lehigh ID card. If a legal form of identification is required, your Lehigh ID card will not suffice. We encourage you to carry a legal form of identification (such as a driver’s license) should that be needed.
Clear selection
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lehigh University. Report Abuse
Google Forms