ITS - Name Change for Accounts - Students, Staff and Faculty

* = required field

Has the information been changed with Human Resources or the Registrar (students)? *

Yes

Status *

Faculty, Staff or Administrator

Student

Current Name *

First

Last

New Name - input your name as you want it to be. *

First

Last

SID# *

Current Siena Email Address *

Phone Number *

###

####

Job Title and Department

Effective Date *

YYYY

Other needs or instructions (please specify):

Please Note:

Access to various files and functions require approval of specific individuals. By submitting this form, the position requestor is authorizing ITS to seek approval from the appropriate individuals(s) for file and/or function access when such approval is needed.