*
Required
COVID-19 Travel Form
Thank you for sharing this important information that will help us inform our re-entry protocols.
* Required
Email Address
*
required
Name (First, Last)
*
required
Role at Sparhawk*
Student
Faculty or staff
Parent or guardian
Please list the CDC Warning Level 3 or Alert Level 2 country or countries recently visited:
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required
Please list the date(s) you traveled to or plan to travel to the above country or countries:
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required
Please list other travel destinations that you plan to visit or have recently visited, and include the dates of your trip.
*
required
Have you been back in the United States for more than 14 days?*
Yes
No
Please send a confirmation email to the address below: