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
*
Submit
