Eastern Family Network Application
First Year Programs Home Student Affairs  EKU I.D. 
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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
I have the following suggestion(s) or question(s):
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EKU First Year Programs
521 Lancaster Avenue
Richmond, KY 40475
(859) 622-1682
Comments/Questions?
Send us an email.