Take the Pledge to Help Stop Covid @ LSC!
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By filling out the form below, you are showing your commitment to model safe behavior at LSC by wearing a mask, social distancing, hand washing, staying home when sick, getting vaccinated if medically possible, and encouraging others to take the pledge!
First Name *
Last Name *
Phone number *
E-Mail *
Are you a student or an employee at LSC? *
At which campus do you spend MOST of your time? *
Who encouraged YOU to take the pledge?
Please give first and last name.
For EVERY LSC Student and employee that takes the pledge and lets us know that YOU encouraged them to take it, YOUR name will be entered into a drawing for one of EIGHT $200 Amazon gift cards!                                                                        
Pledges from your fellow LSC students and employees  MUST include your first and last name as the person who encouraged them to take the pledge!
Deadline to take the pledge is Friday March, 31st, 2022!
How many other LSC students and Employees will you strive to encourage to take the pledge? *
Select a number range that you feel is reasonable for yourself!
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