E-6 FITNESS CENTER APPLICATION CAMERON EMPLOYEE ID#: CAMERON EMPLOYEE NAME: CAMERON DEPARTMENT: CAMERON EMPLOYEE EMAIL: University policy allows for an employee’s immediate family members (spouse and/or dependant children under the age of 18) to have free access to the Fitness Center. The information provided below will be entered into the system and an ID number will be assigned, then you will receive an email with the assigned Cameron ID numbers. Family members should take their ID number to One Stop in the MCC to have an ID card made. Please allow 3 days for processing. Application is for my: Spouse Children (must be under the age of 18) FULL NAME SEX: Male Female DATE OF BIRTH: HOME ADDRESS HOME PHONE: SSN: Employee Signature Send to: DATE Brenda K. Russell Office: Room 121, Administration Building Phone: 580-581-2228 Email: brendar@cameron.edu