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Winter Term 2022 Late Arrival Notification Form
Please provide the information requested below if you anticipate arriving on campus after 8 pm on your designated arrival day.

It is critical that you maintain physical distancing to the greatest extent feasible, wear a face covering, and practice careful hand hygiene at all times.

Additional instructions regarding late arrival testing will follow prior to your arrival date.
Your email will be recorded when you submit this form
Email *
First Name *
Last Name *
Middlebury Email *
Middlebury ID *
Phone Number
Anticipated arrival date *
MM
/
DD
/
YYYY
Anticipated arrival time *
Time
:
Pre-Arrival Test Taken (within 3 days of arrival)
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Pre-Arrival Test Result
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A copy of your responses will be emailed to the address you provided.
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