Newark New Brunswick Universitywide Search Rugers Home
CAMDEN CAMPUS CENTER  |  DINING SERVICES  |  HOUSING & RESIDENCE LIFE  |  CAMPUS INVOLVEMENT   |  STUDENT AFFAIRS
Emergency Contact Information Update

The information you provide below is collected and saved by the Office of Residence Life in case of illness or injury to a resident student. Rutgers University has a parental notification policy that the Office of Residence Life follows. Please read more information about this policy here: http://compliance.rutgers.edu/studrec.shtml

 

First Name:
Last Name:
RU ID#:

Do you have any medical conditions, allergies, or other important information that you would like to make us aware of?

If so, please provide that information here.

Please provide contact information for the following people. In the third section labeled "Please specify relationship," you can add an additional person other than a parent or guardian that can be called in case of emergency, such as an aunt, uncle, brother, sister, :

Person/Relationship Name Home Phone# Cell Phone# Work Phone#
Mother/Guardian:
Father/Guardian:

Please Specify Relationship:

From the persons noted above, please select a primary emergency contact:

From the persons noted above, please select a secondary emergency contact:

 

Before you will be permitted to proceed with final submission of your emergency contact information update you will need to visit the University's Emergency Notification and Contact Information website and update your information. You will need your University netID and password to update your information.

Please click here to be redirected to the Emergency Notification and Contact Information website now.

Once you have updated your personal information as required above, please check the box below, enter today's date in the field provided, and click submit.

I have updated my personal information with the University

Today's Date (mm/dd/yyyy):