Travel Disclosure - Visitor

* fields are required

First Name: *

Last Name: *

Travel Reason: *

College Business/SponsoredPersonal

Domestic Travel:

College Business/Sponsored Domestic TravelPersonal Domestic TravelBoth

International Travel:

College/Business Sponsored International TravelPersonal International TravelBoth

Please input the locations of travel using a new line for each location. For international travel, only the country is needed. For Domestic travel, enter the city and state.

Input the location(s) of travel: *

Travel Start Date: *

Travel End Date: *

By submitting this form I acknowledge that in accordance with Cuyahoga Community College travel guidance, I am aware of the inherent risks of travel and understand that should I travel to a foreign country that is deemed a Level III threat by the Centers for Disease Control and/or the U.S. Department of State, or my travel destination(s) becomes classified a Level III threat during or approximate to the time of my travel, I will quarantine myself for a period of fourteen (14) days. If I am a College employee, I will utilize Sick Leave or Personal Leave for that time period.

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