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Southwestern Community College- Upward Bound EMERGENCY INFORMATION FORM Name of Student: Age: EMERGENCY CONTACT INFORMATION PARENT/ GUARDIAN: Parent or Guardian: Relation to Student: Telephone: Cell/Pager
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How to fill out upward bound emergency information

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How to Fill Out Upward Bound Emergency Information:

01
Start by gathering all the necessary personal information such as full name, date of birth, and contact details.
02
Provide emergency contact information, including the names, phone numbers, and relationships of at least two individuals who can be contacted in case of an emergency.
03
Indicate any specific medical conditions or allergies that program staff should be aware of in case of a medical emergency.
04
Specify any required medication or medical devices that need to be administered or used during the program, if applicable.
05
Fill out any additional medical information, such as insurance details or medical history, that program staff should know in case of emergencies.
06
Answer any questions regarding dietary restrictions or preferences to ensure proper meal planning during the program.
07
Provide any relevant academic information, such as grade level, school attended, and previous academic achievements if requested.
08
Sign and date the emergency information form to certify that all the provided information is accurate and complete.

Who Needs Upward Bound Emergency Information:

01
Upward Bound participants: All students who are enrolled in the Upward Bound program should provide their emergency information to ensure their safety and well-being during program activities.
02
Program staff: The staff members responsible for organizing and supervising Upward Bound activities need access to participants' emergency information in order to respond appropriately in case of an emergency.
03
Medical personnel: In the event of a medical emergency, healthcare professionals may require access to participants' emergency information to provide appropriate medical care or treatment.
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Upward Bound emergency information is the information provided by participants in the Upward Bound program to ensure they can be contacted in case of an emergency.
All participants in the Upward Bound program are required to file emergency information.
Participants can fill out upward bound emergency information forms provided by the program coordinator or online through the program's website.
The purpose of upward bound emergency information is to ensure the safety and well-being of participants in the program by having up-to-date contact information in case of emergencies.
Participants must report their emergency contact information, medical information, and any other relevant information that program staff may need to know.
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