Return-To-Campus Certification

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1) I am not currently exhibiting any symptoms of COVID-19, including but not limited to fever, unusual cough, shortness of breath, headache, aches and pains or sore throat and have not exhibited these symptoms in the last 10 days.

2) I have not, nor has any member of my household, travelled internationally in the last 14 days.

3) No one in my household, nor any person I interact with on a regular basis, currently has the major symptoms of COVID-19 (i.e., fever, cough, and/or shortness of breath) or has been quarantined due to suspected exposure to COVID-19.


By submitting this form, I certify that the information I provided above is true and correct to the best of my knowledge.