Chosen Name and Gender Identity Request Form

SUNY Brockport recognizes that some students wish to use a first name other than a legal or official name of record to identify themselves in day-to-day use.

What is the purpose of SUNY Brockport’s Chosen Name & Gender Identity Request?

SUNY Brockport allows students to request that their first name be changed on their Eagle One ID card and in other official university systems (Banner and Blackboard) when their legal name does not accurately reflect their identity.

The University acknowledges that the student’s first name can and should be used on the Eagle One ID cards and in other university systems (Banner and Blackboard). This process is limited to first names and not surnames or family names. For non-U.S. citizens, the official name of record is the passport name. Also, it is hoped that this opportunity will assist students with affirming their self-identification.

The University extends this accommodation to help foster a more welcoming, supportive, and respectful campus climate for all its students.

Process

Students wishing to modify an existing first name, on their Eagle One ID card and other university systems (Banner and Blackboard) must use the online form:

Chosen Name and Gender Identity Request Form

Upon completing the form, a 5-10 minute meeting can be scheduled either with the Chief Diversity Officer, oedi@brockport.edu , or with another preferred campus mentor (e.g. professor, counselor, etc.). The meeting will provide a follow-up to the online request and allow students to learn of additional resources and support services available at the institution. For students choosing to schedule a meeting, contact us at oedi@brockport.edu or (585) 395-2024.

After confirmation of a valid request, students can go to the Conrad Welcome Center to pick up their new Eagle One ID card free of charge. This accommodation is available due to a partnership between the Office of Equity, Diversity, and Inclusion (OEDI), Library Information & Technology Services (LITS), and the Office of Registration and Records. The first name change will appear on the front of the Eagle One ID card.

Frequently Asked Questions

Brockport Diversity Statement

SUNY Brockport is committed to creating and maintaining an equitable environment that welcomes, values, respects, and supports individuals and communities who affirm human dignity. The University provides opportunities for engagement, learning, growth, and transformation to foster a diverse, equitable, and inclusive institution.