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Name & Address Change

The NAME & ADDRESS CHANGE FORM (pdf) may be used for multiple purposes. Current students may use it to change their name, and/or to update a permanent and/or local mailing address in the student information system.  

  • Complete the appropriate sections of this form as they apply to your situation. 
  • Don't forget to sign the form! 

 Helpful Tips: Students who are changing their name must provide supporting documentation with their form. Acceptable forms of documentation for a name change include a copy of the Social Security Card, Valid Driver's License, Marriage Certificate, or Court Order.


Submission Information

Once your form is completed, submit it to the Office of the Registrar using one of the methods below.

  • Scan and email it to registrar@longwood.edu
  • Hand-deliver it, with your photo ID, to Barlow 101
  • Fax it to 434-395-2252
  • Mail it to
         Longwood University
         Office of the Registrar 
         201 High Street
         Farmville, VA 23909

If you are submitting a name change, remember to attach your supporting documentation to the form.