Emergency Contact Form

  • Emergency Contacts

    The College would like to have emergency contact information for employees and volunteers on file so that someone can be contacted if there is a serious injury, sudden illness, or other emergency while at Kentucky Wesleyan. This information will not be shared with any other college department or external entity except for these types of situations. Providing emergency contacts is completely voluntary. Please do not list minors as a contact.
  • Primary Emergency Contact

  • Secondary Emergency Contact

  • If you would like a copy of this form emailed to you, please include your email address below.