Eureka College New Student Packet 2013-14 | Page 10

checklist
It is important that you complete the front and back of all documents in full and return the
information to the Office of Student Programs and Services, Eureka College. Included in this packet
is a Personal Data Document, Immunization form, Insurance Verification form and Physical Information form (front). The Athletic Pre-participation Physical Evaluation (back), Sports Information Questionnaire, and Insurance Verification (back) need to be completed if you are participating in a sport.
If any of the information changes while you are a student at Eureka College, please notify the
Office of Student Programs and Services (SPS) and the Office of Records (Burrus Dickinson Hall).
All information in this packet must be completed. Some of the information may need to be
completed with your parents or spouse if applicable. We appreciate the time you take in
completing all personal information requested.

Checklist Forms to be completed and returned:
All Students:

ATHLETES:

Personal Data Document

Sports Information Questionnaire

Immunization Form

Insurance Verification (back)

Insurance Verification (front)

Pre-participation Physical (back)

Physical Evaluation (front)
All student forms should be returned to:
Eureka College
Student Programs & Services
300 E. College Avenue
Eureka, IL 61530-1500
Phone: [phone]

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Athletic forms should be returned to:
Eureka College
Athletic Department Trainers
300 E. College Avenue
Eureka, IL 61530-1500
Phone: [phone]