Saint Catharine College

Fast Track Check-In


The Residence Life and Student Activities Office wants to make moving into the halls a simple and easy process for all residential students. To aid in this effort students can fill out this form below without having to wait in a line once they arrive to campus to move in. If you have any questions or concerns about the form below please contact Chris Owens – Director of Residence Life and Student Activities at 859-336-5082 x1107 or via email chrisowens@sccky.edu.

All the below fields are required for the application.
STUDENT CONTACT INFORMATION
First Name
Last Name
Street
City
State
Zip
Phone
Email
We understand that many students have and prefer to use cell phones for their primary telephone communication. If this is your case, please provide your mobile telephone number in the space provided below:
Mobile Phone Number:
PARENTS OR GUARDIANS - EMERGENCY CONTACT INFORMATION

For security and administrative reasons, St. Catharine College keeps up-to-date emergency contact information on all students and their parents or guardians. This information is used to contact others in case of an emergency involving you, the student.

Please write in or correct the information for your emergency contacts below. Return the completed form to the Resident Life Office. If at any time you need to update your information, you may do so at the Resident Life Office.

Emergency Contact 1
Name: 
Relationship:
City / State:
Area Code/Phone Number/Ext.
Emergency Contact 2
Name: 
Relationship:
City / State:
Area Code/Phone Number/Ext.
Insurance Information
Insurance Company:
Policy Number:
Group Number:
Name of Insured:
Resident Food Allergy Questionnaire
Are you diabetic? Yes No
Do you have any food allergies?

Yes No

If yes, please list 

Are you allergic to latex gloves? Yes No
Do you require a sharps container? Yes No
Please list any other medical conditions that the Residence Life and Student Activities Office should be aware of:
I understand that I am solely responsible for keeping my emergency contact information up to date. 
AGREE  
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