Student ID Badge Request

Name and ID

First Name

Last Name

Student ID (Empower) Number

Contact Information

Mercy College Email Address

Phone Number

Request Information

Badge Type

Replacement Student ID BadgeNew Student ID Badge

Student Type

Land-BasedOnline OnlyCertificate Program (e.g., EMT, Phlebotomy)

Are you part of the BGSU cohort?

YesNo

What month and year did you attend New Student Orientation (NSO)?

Replacement Badge Information

If you are requesting a replacement badge, you will be notified within 5 business days via your student email when your replacement ID will be available for pickup. You will be required to provide alternative identification in order to receive your new badge. There is a $12 fee for a replacement badge that will be charged to your student account.

Prior Name

If "Other", please specify

Online Student Information

Please provide your home mailing address below. Non-local, online-only student ID badges will be mailed to the student's home address. You will be notified via Mercy College email when the badge has been mailed.

Street Address

Address Line 2

City

State

Zip Code

Photo Upload

Please upload your photo in JPG format. You should be facing forward and the photo should be a headshot from the shoulders up. Hats or sunglasses are not to be worn in photo. Any other objects in the photo are unacceptable and will be rejected. Use a plain background (blue color is preferred).

Attach Your Photo

Fee Acknowledgement

By submitting this form, I understand there is a $12 student ID badge replacement fee that will be charged to my student account and that even if I find my original student ID badge in the interim, I will be charged the $12 processing fee upon submitting this form.

I agree to the financial responsibility statement.

Mercy College of Ohio, a Catholic institution with a focus on healthcare, educates and inspires students to lead and serve in the global community.