Apply
Keeping Hawks Healthy

See UHart’s fall opening plan and our response to COVID-19: hartford.edu/healthy-hawks.

#renderEmergencyWidget( $widget )

Parent Network Questionnaire

Welcome to the UHart family and our Parent Network! We look forward to getting to know you and your student over the next several years. Help us to keep your information up to date and let us know how you would like to stay connected.
Parent Information

Please complete the form below so that we can keep our contact information up to date. Thank you!

First Name: *

Last Name: *

Preferred Email: *

Preferred Phone: *

Spouse First Name:

Spouse Last Name:

Spouse Preferred Email:

Student First Name: *

Student First Name (If more than one student attending):

Student First Name (If more than one student attending):

Student First Name (If more than one student attending):

Student Last Name: *

Student Last Name (If more than one student attending):

Student Last Name (If more than one student attending):

Home Address: *

City: *

State: *

Zip Code: *

Country: *

List any boards and/or volunteer activities you are currently involved in.:

In what ways would you like to support UHart? (Please select all that apply.): *