Survey - Kent State University Parents and Families Association

As part of the Parents and Families Association, you have access to a number of great benefits and perks! Please complete the contact form below to stay connected via email communication.

Family Member 1 (Required)

Please include all the information about the person filling out the form.

Please complete the following:


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	Zip / Postal Code Required
	You may receive periodic communications from Kent State University.

Question - Not Required - Phone Number:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Relationship to Student(s):

*

Question - Required - Are you a graduate of Kent State University?

Yes

No

Question - Not Required - If you are a graduate of Kent State University, please enter your grad year:

(Maximum response 255 chars, approx. 5 rows of text)

Family Member 2 (Optional)

Please include all of the information about "family member 2" and their relationship to the student.

Question - Not Required - First Name:

Question - Not Required - Last Name:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Email:

Question - Not Required - Phone number:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Relationship to Student(s)

Question - Not Required - Is this family member a graduate of Kent State University?

Question - Not Required - If this family member is a graduate of Kent State University, please enter their grad year:

(Maximum response 255 chars, approx. 5 rows of text)

Student Information

Please include all of the information about the student in question.

*

Question - Required - First Name:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Middle Name:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Last Name:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Student KSU Email:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Student Phone Number:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Student's graduation year

(Maximum response 255 chars, approx. 5 rows of text)