VCES Campus Log  
Please complete this survey for EACH day you come to campus.  As you can see from the questions, it is best filled out after you leave campus for the day. Thank you for your cooperation!
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What is your name? *
Date on campus *
MM
/
DD
/
YYYY
What role do you have in the community? *
Required
If you selected "other" above, please describe your role.
What time did you arrive on campus? *
Time
:
What time did you leave campus? *
Time
:
Please list anyone with whom you had close contact.  Close contact is defined by the CDC as someone who was within 6 feet of an individual for a cumulative total of 15 minutes or more over a 24-hour period (masked or unmasked). If nobody, please write n/a. *
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