Emergency Contact

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Emergency Contact Information

Communication is critical, especially with urgent campus news. We request emergency contact information for each resident to inform when there are important alerts. Through a broadcast system, we can issue emergency notification to these contacts through email, text and pre-recorded phone messages. Please complete the below form including at least an email address, cell phone number or landline phone number. Thank you for your assistance in keeping our records updated so we can keep in contact when it counts.

* required
Name*
First Last
Resident's Name*
First Last
Relationship to Resident*
Please indicate at least one of these forms of contact:*
- Email
- Landline Phone
- Cell Phone
Email*
Landline Phone*
Cell Phone*
Your privacy is important to us. If you have any questions on how we use the information provided in these forms, please see our Privacy Policy.

Emergency Contact Information