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COVID-19 RESIDENTIAL FORM
All Charleston Southern University residential students should complete the form below to officially inform the university of your location and information to contact you in case of emergency.
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* Indicates required question
Are you currently on campus or have you left?
*
Yes, I am on campus
No, I have left
When are you leaving?
*
In 48 hours
In 24 hours
In 72 hours
I am unable to leave - email Julie Alimpich -
jalimpich@csuniv.edu
immediately
NA - I’m already gone!
First Name
*
Your answer
Last Name
*
Your answer
Student ID #
*
Your answer
Building
Quad 1
Quad 2
Quad 3
RW (Russell West)
RE (Russell East)
WS (Women's South)
WN (Women's North)
New ResHall
Clear selection
Room Number
Your answer
Your cell phone number (number at which you can be reached)
*
Your answer
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