Emergency Contact Information

All faculty and staff are asked to provide contact information to be used in the event of an emergency.

At least one emergency contact over the age of 18 is requested. 

Your information will be kept securely with Human Resources and the Director of Campus Safety and Emergency Preparedness. 


 
 
 
Please list any pertinent medical history that you would like to be shared with medical professionals in the event of an emergency.
Please list any allergies (food, medication, bee stings, etc.) that you would like to be shared with medical professionals in the event of an emergency.
 
 
Please scroll down to select one from the list:
 
 
 
 
 
 
 
 
 
 
 
 
Please scroll down to select one from the list: