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Quarantine Off Campus
Please fill out this form if you are self-quarantining off campus when you arrive to campus.
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Student ID Number (ex: 1234567)
*
Your answer
Where will you be quarantining?
*
Off Campus Housing
Locally in the Northeast Ohio region
Other:
What day will you arrive to your off campus housing
*
MM
/
DD
/
YYYY
What program are you in
*
Undergraduate
Graduate Studies
SOM
DEN
LAW
MSASS
NURS
WSOM
Physician Assistant Studies (MS)
Other:
Will you need a COVID vaccine upon arrival?
*
Yes
No
I do not know yet
Other:
A copy of your responses will be emailed to the address you provided.
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