CLASS Building Access Log
Please complete this form each time you visit campus. This information will be used to support contact tracing and help keep our community safe.

As per health office guidelines, all members of the university community should stay home if they are feeling sick, or if they have respiratory infection symptoms, e.g., a fever of at least 100.4 °F [38 °C]. A complete list of possible symptoms and guidance on self-tests can be found on the CDC website(1). While on campus maintain a minimum of six feet of separation from other people and wear a face covering(2).

(1) https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
(2) https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/Guidance-for-Face-Coverings_06-18-2020.pdf

Your email address will be recorded when you submit this form.
Email address *
Name (First & Last) *
Net ID# *
Access Date *
MM
/
DD
/
YYYY
Building (click on all buildings accessed for this date) *
Required
Primary Room(s) Location (for example: MB 1501 & MB 1511) *
Other Comments
Submit
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