COVID-19 - Georgia Southern Residence Hall Form
Effective Monday, March 16, 2020, all University System of Georgia institutions will temporarily suspend instruction for two weeks to allow time for USG institutions to test their business continuity plans and online instruction modules and for state officials to continue to assess the current situation regarding coronavirus (COVID-19) in Georgia.

Students who are currently on spring break are strongly encouraged not to return to campus. Students on campus are asked to depart campus by close of business Friday, March 13, 2020, and to remain away from campus until March 29, 2020. At this time, students are not being asked to move out of their dorms for the remainder of the semester; however, students are strongly encouraged to pursue other options for the interim period.

At this time, University Housing is aware you may have many questions; however, we are working to gather the information that we have and distribute it as effectively as possible through the University.

Please complete the form below to the best of your ability based upon the information that you have on hand at this time. Please start by entering your Georgia Southern email address below.
Email *
Eagle ID Number *
Preferred Name *
Legal First Name *
Legal Last Name *
Best Contact Phone Number *
Please enter in the following format xxx-xxx-xxxx
Emergency Contact Name *
If necessary, all efforts will be made to utilize your emergency contact information as indicated in WINGS rather than the information provided here.
Emergency Contact Phone Number *
Please enter in the following format xxx-xxx-xxxx
Emergency Contact Relation *
I agree that information provided in this form can be shared with my emergency contact, university personnel and first responders as needed. *
Please select which campus you live on *
In which residence hall do you live? *
What is your room number & letter? *
i.e. 4110A
Please select the option that best fits your plan to occupy your residence hall during the time of suspended instruction. *
Students are strongly encouraged not to return to campus until March 29, 2020, or until further updates are provided from Georgia Southern University and the University System of Georgia.
If you are planning to remain on campus, what is your reason for needing to stay on campus?
If you are departing campus, what location are you traveling to (city, state or country)?
Please list all locations if you are traveling to multiple locations
If you are unable to depart campus by 5:00 pm on Friday, March 13th, when do you plan to depart?
Clear selection
Submit
Never submit passwords through Google Forms.
This form was created inside of Georgia Southern University. Report Abuse