Completion of this form will expedite and facilitate Chemeketa's COVID-19 assessment, notification and contact tracing efforts.
If you have been directed to complete this form by an instructor or supervisor please fill out the answers as they apply to YOU.
NOTE: If completing this form for someone else, please answer the questions as they would if they were filling out the form.
NOTE: If you have had a known exposure or tested positive, be prepared to isolate or quarantine for a minimum of 5 days. DO NOT RETURN to campus until notified by the college. If you are not contacted within 48-hours, please send an email to COVID19@chemeketa.edu