ARPS Name & Gender Identity Change Form

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Welcome to the ARPS Name & Gender Identity Change Request Form

Welcome to the ARPS Name & Gender Identity Change Request Form! The following form will gather the information required to begin the name change process.

If you have any questions, please contact Maureen Fleming, School Mental Health &
Behavioral Services Administrator, at flemingm@arps.org.

Completing the form will take approximately 5 minutes to complete.

Be sure to fill out the entire form. The last section requires the user to answer the question with an electronic signature and click the I Agree checkbox to complete the form. You must then click the submit button to complete the form.

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