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Madison Metropolitan School District

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Name and Gender Change Request Form

Required

Schoolrequired
Graderequired
Student ID Numberrequired

Current Student Information

Current Name in ‘Infinite Campus’required
First Name
Middle
Last Name
Current MMSD Email Addressrequired

I am requesting the following change(s) in Infinite Campus

Do You Have Name and Email Address Changes?required
If requesting name change, change name torequired
First Name
Middle
Last Name
Would you like your MMSD email name to match the name requested above?required
Do You Have Gender Identity & Pronoun Changes?required
Current gender designation in Infinite Campusrequired
If requesting gender change, change torequired
Please let us know your pronounsrequired
If you answered "Other" above fill out your pronouns here.required
*Please note: MMSD recognizes and affirms the gender identities of all of our students. Due to current state/federal reporting requirements and limitations of Infinite Campus, for our non-binary students, we can add a flag in IC for pronouns and list them in the nickname field so they appear on class rosters. MMSD staff will follow district guidance and honor our students’ gender identities and affirmed pronouns at all times.
 

Photo Change: Infinite Campus, Student ID, School Yearbook

Contact your school (school social worker, psychologist or counselor) to request the following changes:
  • New photo in Infinite Campus, Student ID or yearbook photo

I assure, as the person requesting this/these change(s), that the student listed above identifies as the name/gender here requested. Please understand that this is a school-based change and not a legal name/gender change.

Parent/Guardian Namerequired
First Name
Last Name
Parent/Guardian Email Addressrequired
Parent/Guardian Phone Numberrequired
Parent SignaturerequiredClick yes if you have reviewed and authorizes this form submission with your signature.
Click yes if you have reviewed and authorizes this form submission with your signature.
Student SignaturerequiredClick yes if you have reviewed and authorizes this form submission with your signature.
Click yes if you have reviewed and authorizes this form submission with your signature.
If you have questions about this process please contact John Peschl (LGBTQIA+ Teacher Leader) @ jcpeschl@madison.k12.wi.us
  • Changes take about 3-5 business days.

Visit the LGBTQIA+ Equity in MMSD website for more information