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MMA Visitors
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Campus Department Host
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Contact Phone Number of Host
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Contact Email of Host
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Name(s) of Campus Visitors
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Visitor Email
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Visitor Phone Number
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Purpose of Campus Visit
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Date of Visit
MM
/
DD
/
YYYY
Time of Visit
Time
:
AM
PM
Campus Locations(s) of Visit
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Visitor is coming to campus for an important activity within the learning, discovery, or engagement missions of the Academy.
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No
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Visitor has been instructed to monitor symptoms and has been provided with all necessary tools to enable them to comply with the MMA Safe Return Plan.
Yes
No
Clear selection
Visitor has been specifically instructed that they must wear a face mask while on campus and that it must be worn in all areas of campus to include outside spaces, hallways, public spaces, and common areas.
Yes
No
Clear selection
Visitor has been specifically instructed to use hand sanitizer and/or frequently wash hands throughout their time on campus.
Yes
No
Clear selection
Visitor has been specifically instructed that they must follow all building signage, marked pathways and other space guidance intended to promote social distancing.
Yes
No
Clear selection
Visitor has agreed to participate in Campus Clear for each day they are on campus.
Yes
No
Clear selection
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