RSVP: Fireside Chat with Sukhinder Singh Cassidy
SCU ChIPs is excited to host a Fireside Chat with Sukhinder Singh Cassidy! The event will take place on campus at the Mission Gardens at Santa Clara University on Wednesday, October 6th, 2021 from 6:00-7:00 PM PST. In order to comply with University guidelines, we have a few questions to cover. Unfortunately, we are not able to accommodate guests who are not vaccinated against COVID-19. Please note that you are required to provide accurate information about your COVID-19 vaccination status to be considered fully vaccinated on the University's premises. Please reach out to with any questions or concerns.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Preferred Email Address *
Company/Firm/School *
Sponsorship Tier
Clear selection
Will you need a parking pass for the event? *
For the purposes of this certification, you are considered "fully vaccinated" two weeks after completing the second dose of a two-dose COVID-19 Vaccine (e.g. Pfizer or Moderna) or two weeks after receiving a single dose of a one-dose vaccine (e.g. Johnson & Johnson). *
I understand that I am required to provide accurate information about my vaccination status. I hereby attest that the information I have provided above is accurate. I also understand that if I have an immunocompromising condition or I am taking immunosuppressive medications, I should consult with my healthcare provider to determine which personal protective measures are appropriate for me. *
Provide your initials below to attest to the above statement:
If you have any questions or concerns, please let us know below:
Clear form
Never submit passwords through Google Forms.
This form was created inside of Santa Clara University. Report Abuse