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코로나19 확진 시 보고 양식(Report form for confirmed COVID-19)
코로나19에 확진된 구성원은 아래의 내용을 작성해서 제출해주시기 바랍니다.
- 학생복지팀 -
Member who has been confirmed with COVID-19, please fill out and submit the following information.
- Student Affairs Team -
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* Indicates required question
확진일자(confirmed date)
*
MM
/
DD
/
YYYY
성명(name)
*
Your answer
유형(identity)
*
학부생(undergraduate)
대학원생(graduate)
교원(faculty)
직원(staff)
소속(major or department)
*
Your answer
성별(sex)
*
남(male)
여(female)
출생년도(year of birth)(ex. 1997)
*
Your answer
감염경로(infection route)
*
확진자접촉(contact with an infected person)
증상발현(symptom onset)
미상(unknown)
가족 감염(family infection)
백신접종 여부(vaccination)
*
1차 접종 완료(1st vaccination)
2차 접종 완료(2nd vaccination)
3차 접종 완료(3rd vaccination)
4차 접종 완료(4th vaccination)
미접종(unvaccinated)
기숙사 거주 여부(dormitory residence)
*
거주(yes)
미거주(no)
기숙사 생활관(기숙사 거주자에 해당함)(For dormitory resident, please select the residence building.)
자유관(Libertas)
정의관(Justitia)
진리관(Veritas)
미래관(Futurus)
Clear selection
외국인 유학생의 경우, 국적, 비자유형, 입국일자 작성 요망(For international student, please fill in your nationality, visa type and date of entry.)
Your answer
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