Covid-19 Employee Return to Campus Acknowledgement

By submitting this form, I acknowledge that I understand I have a continuing obligation to self-screen on a daily basis and to inform my supervisor if any of the following situations apply. I further acknowledge that this is for my health and safety as well as the health and safety of students and co-workers.

I agree to alert my supervisor:

  • Fever

  • NEW cough

  • NEW shortness of breath

  • NEW body aches

  • NEW sore throat

  • Anyone who is COVID-19 positive

  • Anyone in quarantine or awaiting COVID-19 results

  • All international travel and identified domestic hotspots;

  • Travel by plane, cruise ship or other multi-passenger mode of transportation; and/or

  • Traveling and attending events for 50 or more people in which social distancing is difficult to maintain.

Campus COVID-19 Signage

Download ready-made signs and customizeable templates for you to print and post as needed.

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