Eureka College New Student Packet 2013-14 | Page 11

The Personal Data Document provides the college with basic information which initiates
academic course work, billing, academic repairs, and emergency contact. It is imperative that
you complete the front and back of this document.

Parent/Guardian Information
Up-to-date information ensures delivery of Billing Statements and Academic Reports to the proper
location. Also, see Medical Information below. INDEPENDENT STUDENTS should complete
this information, noting their contact person.

Car Identification Information
Students should list information on all automobiles which may be brought to campus.
This information allows campus security to validate visitor's parking and speed up response to student concerns relating to traffic and parking. Should the information change during enrollment at
Eureka College, please contact the Office of Student Programs and Services.
A parking permit is required of all students using college parking lots.

Medical Information
Eureka College requests the full name, relationship, and phone number of someone to whom
emergency issues may be addressed. If the student entering Eureka College is under the age
of 18, permission is required for medical services to be rendered by Eureka College or its
contractor, if services are necessary.

Statement of Insurance
All students attending Eureka College are required to show proof of health insurance prior to
registration, or they must accept the insurance coverage offered by Eureka College.

formsclarification

personal data document