Emergency Contact

Students are required to provide the Living-Learning and New Student Programs Office with the contact information for an emergency contact person in case of emergency while traveling. The student can choose anyone they want to serve as their emergency contact.  They will only be contacted in the event that the student is not able to contact them directly.

Emergency Contact Information Form

This form needs to be completed, no later than 30 days prior to travel.

Student Information

First Name:

Last Name:

Cell Phone Number (with area code):

Dietary Restrictions:

Emergency Contact Information

First Name:

Last Name:

Relation to Student:

Best Phone Number to Reach Them:
(with area code or if international, include country code)

Email (optional):