Students: Use this form to voluntarily report to the university an exposure to, assumed case, or diagnosis of COVID-19. This form will be routed to the Pandemic Planning Team. A member of the team will notify your faculty instructor(s) and advisor.
Employees: The university needs to maintain a safe/clean working environment for all employees who must remain working on campus. Given these extraordinary circumstances, we are asking for your help to keep the campus clean and employees safe. Employees are strenuously encouraged to report exposures to COVID-19 using the form on the university website. With testing being limited in this area we cannot rely upon a positive test to be the determining factor for an “exposure”. The completed forms will be routed to Human Resources to use the information for notifying campus operations on what areas need to be cleaned, to notify individuals who may have come in contact with the affected individual, and to track for use of COVID-19 leave.
This is not a diagnostic tool. If you are experiencing coronavirus (COVID-19) symptoms, contact your primary care provider. If you are experiencing a medical emergency, call 9-1-1.