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.
If you complete the Return-to-Campus or Return-to-Work Certification online, be prepared to present your confirmation email upon entry. If you answered “False” to any of the below questions, you must provide more information before returning to campus. If you have traveled internationally, then please also complete the Travel Disclosure form (https://forms.tri-c.edu/Player/traveldisclosurevisitor).
By submitting this form, I certify that the information I provided above is true and correct to the best of my knowledge.