Former students (post 2004) may request a change of the email address on file at Transylvania to reset their password to Self-Service. A copy of a state issued photo ID is required to verify identity and should be attached at the end of this form.

Questions about this form should be directed to the Office of Information Technology Services (859) 281-3593 or helpdesk@transy.edu.

Key

Name

Prefix

First Name

Middle

Last Name

Maiden Name

Mailing Address

Country

Street

City

Region

Postal Code

Last 4 of SSN

Birthdate

Home Phone

Device 1 Type

Mobile Phone

Device 2 Type

Transylvania Email Address

New Email Address

Device 3 Type

Please upload a copy of a state issued Photo ID for identification verification purposes.
(Driver's License, Passport, etc.)

Student's Agreement*

I certify that all the information provided in this request is accurate.