EVACUATION AND EMERGENCY
INFORMATION SHEET
Name:
_________________________________ Student Staff
Faculty
Supervisor’s Name: ____________________________
To Where Are You Evacuating? (Give specific names, addresses
contact numbers)
Emergency Contact Number:
Name:
Relationship:
Address:
Phone:
Who are
you traveling with:
Vehicle Description:
Make
Year/Model:
Licenses
Number:
Driver:
Signature: ________________________________________________
Supervisor/Resident Advisor Signature:
__________________________________
Voice mail numbers in College Station and Galveston will be
available to provide up-to-date information regarding the re-opening of
campus. The campus website will also
provide this information:
§
(409) 740-4545
§
(979) 862-4285
§
Radio/Television Station
·
KHOU -TV Channel 11
·
KTRK -TV Channel 13
·
KTRH – Radio 740 AM
Employees
will be required to return to work once campus is re-opened.