Student Travel
Please use this form to share any planned travel outside of Vermont during the Fall 2020 semester with the Student Health Center.

Students are encouraged to stay in Vermont for the duration of the semester to avoid having to quarantine on your return to the state. If you must travel, you are required to notify the College by completing this form that will allow the Student Health Center to advise you on quarantine requirements.

If you travel to a county that requires quarantine upon return (which is most counties outside of Vermont), it is likely you will need to move to quarantine housing upon your return to Vermont.

Please contact the Student Health Center with any questions at healthservices@champlain.edu.
Email address *
Student ID *
Phone number (cell phone or best number to reach you at. Include area code) *
First name *
Last name *
Do you live ON or OFF campus? (note: 194 St. Paul is considered ON campus) *
What is the date of your departure? *
MM
/
DD
/
YYYY
What is the date of your return to Vermont? *
MM
/
DD
/
YYYY
Where are you traveling? (name of Town/City, and State) *
How are you traveling? (personal car, bus, plane, etc.) *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Champlain College. Report Abuse