• EKU First Year Programs
  • 521 Lancaster Avenue
  • Eastern Kentucky University
  • Richmond, KY 40475
  • Phone: 859-622-1682
  • Contact Us

Eastern Family Network Application

The Eastern Family Network form is to be completed by parents or family members of accepted and enrolled EKU Students who are interested in joining the Eastern Family Network program. All general questions should be referred to the e-mail addresses listed in the information box.


Information




  First Name of Family Member

  Last Name of Family Member

  Student's First Name

  Student's Last Name

Student's Gender

Male Female


  EKU I.D. Number

(See: EKU ID Number Information) 


Street Address

City

State

(Country, if other than United States)

Zip Code

Home Phone

Work Phone

E-mail Address
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