Office ofHuman Resources

Faculty/Staff Name and Address Change Form

Note: This form is for use by faculty and staff only. In order to change student information (address, phone number, name, etc.) students will need to complete the Change of Student Information form under the “Forms” tab in CampusConnect.

Change Request Type(Required)

Name

Address

Both Name and Address

Email(Required)

Old Name(Required)

First Last

New Name(Required)

First Last

Name Change Documentation(Required)

Drop files here or

Max. file size: 12 MB.

Documentation of the name change from the social security administration is required.

Name(Required)

First Last

New Address(Required)

Street Address Address Line 2 City State ZIP Code

Tammy Sims
Tammy Sims

Human Resources Manager

tdsims@saumag.edu

870-235-4008
Roger Giles
Roger Giles

Vice President for Administration & General Counsel

rwgiles@saumag.edu

870-235-4008
Micah Williams
Micah Williams

Administrative Support Specialist

mbwilliams@saumag.edu

870-235-4008
Jennifer Richardson
Jennifer Richardson

Administrative Specialist III

jrrichardson@saumag.edu

870-235-4008

100 E. University, Magnolia, Arkansas 71753-5000 Telephone: (870) 235-4000

Online Privacy

Office ofHuman Resources

Schools & Colleges

Quick Links

Social