Resident Updated Contact Form

Resident Contact Information

This is your Emergency Contact Information sheet. Please fill out each section carefully. We request this information each semester you are at SSF to make sure our records are up to date. Thank you for giving this your attention!

Please make sure you are using proper grammar & capitalization when you complete this form. Use formal language and your complete information. Please do not use any abbreviated terms or slang words. Thank you!

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Preferred Email*
Confirm Preferred Email*
Cell Phone (Numbers only, no spaces or dashes)*
Cell Phone Service Provider*

The information below will be used to match to your current account in our database. Please be sure to provide the correct information. Thank you!

Full Social Security #*
Date of Birth MM/DD/YYYY*
School Email*
Are you an international student?*
Residency/Visa Expiration Date (if your are a US Citizen, type "US Citizen".)*

Additional Resident Information.

Major
Are you or have you been any of the following SSF Leadership positions?
  • Ambassador
  • Business Manager
  • House Manager
  • President
  • Race Coordinator/Social Chair
  • Secretary
  • Treasurer
  • Vice-/Co-President
  • Historians

Emergency Contact Information

Do you have any documented allergies/health/medical issues? If yes, please explain.*
Primary Parent/Guardian Full Name:*
Primary Parent/Guardian Email Address:*
Primary Parent/Guardian Cell Phone (Numbers only, no spaces or dashes)*
Emergency Contact Full Name:*
Emergency Contact Email:*
Emergency Contact Cell Phone (Numbers only, no spaces or dashes)*
Emergency Contact Relationship:*

Thank you! If you have any additional questions, you may contact the SSF Office.

If you have any changes to this form after submitting, or throughout the year, please return to this form & resubmit all updates/changes online.

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