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Student Connect-Ed Contact Information

Use the form below to add additional phone numbers and an e-mail address to the HMC Emergency Notification System, or to update your current information in the system.

Name:
E-mail Address:

I would like to: (choose one)
Add additional information
Update current information

PHONE NUMBERS
Note: If permission to use your cell phone number for EMERGENCY NOTIFICATIONS was given on the Registrar's Emergency Data Sheet, it does not need to be included on this form unless you are changing your primary phone number designation. *
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Phone #1:
Primary Phone?  
Phone number (including area code):  
Alert Preference **  

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Phone #2:
Primary phone?  
Phone number (including area code):  
Alert Preference **  

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Phone #3:
Primary phone?  
Phone number (including area code):  
Alert Preference **  

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ADDITIONAL EMAIL ADDRESS
In addition to your HMC e-mail address, you may add one additional e-mail address to the Emergency Notification System.

Additional e-mail address:


* Primary phone designation: In some instances (i.e., non-emergency test mode) messages may only be sent to the primary phone number. If the cell phone number listed on the Registrar's Emergency Data Sheet is used for EMERGENCY NOTIFICATIONS, it will be used as the primary phone number unless changed by this form.

** Only ONE cell phone may be designated to receive text message alerts. If a cell phone number included on the Registrar's Emergency Data Sheet opted to receive Voice Only message alerts, an additional cell phone number (via this form) may be designated to receive a text message.