Shenandoah Family Information Form | Shenandoah University

Thank you for taking the time to complete the Shenandoah Family Information Form. The information that you provide helps us know you better and helps us meet the needs of our parent community. Information is used by university officials. This survey should take no longer than 5-6 minutes. Please complete the form by August 1. Thank you.

Please provide parent/guardian contact information below for emergency and general communications.
Student First Name * Required
Student Middle Name
Student Last Name * Required
Suffix
Date of Birth * Required
MM
DD
YYYY
Student ID Number * Required
Your student ID is located on page 2 of your acceptance letter. The ID is seven numbers. You may have to use a leading "0".
Please enter a number from 0000000 to 9999999.
Are any of your family members graduates or current students of Shenandoah University? If yes, who?
- Yes
- No
List Family Members
I will enter information for * Required
- ONE Parent/Guardian/Spouse/Partner
- TWO Parents/Guardians

Emergency Contact Information
Primary Emergency Contact: (Parent/Relative/Spouse)
The primary emergency contact information is:
- The same as that submitted for Parent/Guardian/Spouse/Partner 1
- The same as that submitted for Parent/Guardian 2
- is unique
Full Name * Required
Preferred Phone * Required
Alternative Phone
Relationship to Student * Required
Secondary Emergency Contact: (Parent/Relative/Spouse)
The secondary emergency contact information is:
- The same as that submitted for Parent/Guardian/Spouse/Partner 1
- The same as that submitted for Parent/Guardian 2
- is unique
Full Name
Preferred Phone
Alternative Phone
Relationship to Student
Alternate Emergency Contact: (non-family member)
Full Name
Preferred Phone
Alternative Phone
Relationship to Student
Additional Information
For example, provide any additional contact information.

Parent/Guardian/Spouse/Partner 1