Student’s Identification Number:

Student Phone Number:

Student’s Major:

Purpose of family member’s visit (please select from drop down menu): Attend Commencement Ceremony Short Personal visit Emergency

Family Member #1

Family/Last Name:     Given Name:

Date of Birth: select

Citizenship (enter name of country):

Relationship to Student Brother Brother-in-law Cousin Father Mother Nephew Niece Sister Sister-in-Law Uncle Aunt

Family Member #2

Family/Last Name:     Given Name:

Date of Birth: select

Citizenship (enter name of country:

Relationship to Student Brother Brother-in-law Cousin Father Mother Nephew Niece Sister Sister-in-Law Uncle Aunt

Family Member #3

Family/Last Name:     Given Name:

Date of Birth: select

Citizenship (enter name of country:

Relationship to Student Brother Brother-in-law Cousin Father Mother Nephew Niece Sister Sister-in-Law Uncle Aunt