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Policy Verification/Emergency Contact Form
This form must be completed in order to live in the residence hall. Please note that you must resubmit this form each semester (Fall, Spring, and Summer)
Email address *
Full Name: *
Student ID Number: *
Please Select Your Dorm: *
Room Number:
Example: 1 or 208
Emergency Contact Information: *
An emergency contact is a person that you would want us to call if you were hurt or injured. This person should be someone who you trust.
Name of Emergency Contact: *
(Emergency contact)
In which language should we communicate with your contact? *
Relationship: *
Ex. Father, mother, sister, brother etc.
Email of Contact:
(If available)
Do you have any known allergies or medical conditions that we should be aware of? *
Residence Hall Policy Verification *
I have received and read the residence hall policies for the American University of Afghanistan.I understand that living in university housing is a privilege and agree to follow all residence hall policies and procedures.I understand that failing to follow these policies and procedures may result in disciplinary action as determined by the administration of the American University of Afghanistan
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