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Chosen First Name and Gender Identity Form
Office of Equity, Diversity, & Inclusion
(585) 395-2024
Name as it Currently Appears in Banner
Name as it Currently Appears in Banner
*
First
Last
This request is intended to update Banner with my (select as many as apply):
*
This request is intended to update Banner with my (select as many as apply):
Chosen First Name
Gender Identity designation
Change my First Name to
*
Change my Gender Identity to
*
Male
Female
Non-Binary
Email
*
Enter your Banner ID as verification of this request
*
Must be
9
digits.
Currently Entered:
3
digits.
Comments
Maximum of
500
characters allowed.
Currently Entered:
0
characters.
Do you request notification be sent to instructors on your behalf?
*
Do you request notification be sent to instructors on your behalf?
Yes
No
Please provide the names and email addresses of up to 8 instructors who you want notified after your Banner record is updated.
How many instructor names and emails will you provide?
How many instructor names and emails will you provide?
0
1
2
3
4
5
6
7
8
Instructor 1
Instructor 1
First
Last
Email - Instructor 1
*
Instructor 2
Instructor 2
First
Last
Email - Instructor 2
*
Instructor 3
Instructor 3
First
Last
Email - Instructor 3
*
Instructor 4
Instructor 4
First
Last
Email - Instructor 4
*
Instructor 5
Instructor 5
First
Last
Email - Instructor 5
*
Instructor 6
Instructor 6
First
Last
Email - Instructor 6
*
Instructor 7
Instructor 7
First
Last
Email - Instructor 7
*
Instructor 8
Instructor 8
First
Last
Email - Instructor 8
*
About
Fast Facts
Directory
Location
History
Leadership
Diversity
Alumni & Friends
News
Accreditation
Accountability
Academics
Majors & Minors
Graduate Programs
Online Programs
Center for Graduate Studies
Study Abroad
Academic Calendar
Course Catalog
Course Schedule
Library
Schools & Departments
Career Planning
Academic Success Center
Registration & Records
Admissions & Aid
Request Info
Apply to Brockport
Accepted Students
Cost of Attendance
Financial Aid & Scholarships
Visit Us
Student Life
Campus Living
Student Activities
Orientation
Dining
University Police
Health & Counseling
Student Policies
Athletics
Facilities
Become A Golden Eagle
Fan Zone
Quicklinks
Webmail
Blackboard
Web Banner
Directory
Course Schedule
Student Bill Pay
NetID Lookup & Password Change
Events Calendar
Library
IT Service Desk
EagleSUCCESS
Daily Eagle
Emergency Info
myBROCKPORT
College Policies
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