Access ASU | Student Contact Card

First Name

Middle Name

Last Name

Street Address

City

State

Zip Code

Home Phone Number

Cell Phone Number

ASU may send text messages to this cell phone number. Standard charges apply.

Student personal email address

Parent personal email address

Date of Birth

Gender

School name (no acronyms)

Grade Level

High school graduation year

Are you eligible for Free or Reduced Lunch?

Career interest

Event name

Form completion date