Get Personal Data And Emergency Information Form - University Of ... - Uni

Filling out the Personal Data And Emergency Information Form is a crucial step for students at the University Of Northern Iowa. This guide will walk you through each section of the form, ensuring you provide accurate and comprehensive information.

Follow the steps to accurately complete the form.

1. Press the ‘Get Form’ button to obtain your Personal Data And Emergency Information Form and open it in your designated editor.
2. Begin filling out your personal information at the top of the form. Include your hall name, room number, telephone number, cell phone number, date of birth, and student ID number.
3. In the student information section, write your full name, including last name, first name, and middle initial. Then, provide your permanent address, including street, city, state, and ZIP code.
4. Indicate your class rank by checking the appropriate box, such as freshman, sophomore, junior, senior, or graduate. Additionally, list your major(s) and minor(s) as applicable.
5. Fill out the medical insurance provider’s name and your policy number. This information is important for any potential medical emergencies.
6. Provide the name and phone number of your family physician. This information is critical in case of a medical need.
7. Disclose any physical or emotional health conditions that the residence hall staff should be aware of. Write down details in the designated area.
8. List any allergies to medications, environment, or foods, along with descriptions of reactions in the appropriate sections.
9. Detail any medications you are currently taking, including both prescription and over-the-counter drugs. For each medication, include the condition it treats, dosage, and frequency of use.
10. Fill in the parent or guardian information section, including names, telephone numbers, relationships to you, and their email addresses and addresses.
11. Review all entered information for accuracy and completeness before saving your changes. Ensure all sensitive information is treated with confidentiality.
12. Finally, save your completed form. You can download, print, or share the form as necessary.

Complete the Personal Data And Emergency Information Form online today to ensure your safety and preparedness.