Titles (or Name Prefixes) prepend names; examples of them are Ms., Mr. or Dr. Titles are school-specific, therefore, they can be added or removed as they wish. If you wish to add or remove a name prefix or title, you should open a ticket with Veracross Support.
Once a title has been added, the sort order for drop-down menus for this field can be adjusted using this query. Lower numbers appear closer to the top of the drop-down options.