COVID-19 Student Attestation

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In order for CAU to continue its operation as a residential campus, it needs its residents to conduct lifestyles and choices that are in the interest of health risk prevention. Traveling frequently for long durations of time or even overnight to destinations that are not essential puts our community and ability to offer continuity of education at risk.

California Aeronautical University is asking each student to attest to the statements below for each return to the campus after having traveled away and stayed at another location off campus. By completing and signing this form you are attesting that all information provided is true and correct, and agree to comply with the following statements:

Name *

Today's Date *

YYYY

Email Address *

I attest that I am traveling from the following location since last staying at my home at CAU (please fill in the city and state below): *

I also attest to my commitment to following the health safety guidelines below, whether at my place of residence or otherwise:

-Wear a mask.
-Social Distancing 6 feet.
-Wash hands frequently.
-Stay home if you are sick.
-Avoid people who are sick.
-Cover your mouth when you sneeze or cough.
-Limit congregations of people to 10 or fewer.
-Clean frequently touched surfaces.

Upon returning to campus I attest that I have self-screened for the following:

-I have NOT had a fever of 100°F (37.8°C) or higher within the last 24 hours.
-I have NOT suffered from a cough or shortness of breath within the last 24 hours.
-I have NOT experienced new loss of taste or smell, sore throat, or muscle aches and pains or chills within the last 24 hours.
-To my knowledge, I have NOT been in close contact (within 6 feet or 2 meters) with anyone who has had a confirmed diagnosis of COVID-19 within the last 14 days.
-To my knowledge, I have NOT been in close contact (within 6 feet or 2 meters) with anyone who has exhibited symptoms of COVID-19 within the last 14 days.

My typed name below represents my electronic signature on this document (please type name below): *

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