Centralia College Sign In Form
Please complete this form to check in when you are in a campus building. It is REQUIRED that all employees check in when they are on campus.
If you have any questions, please call 360-623-8888 (x.8888) or email
First & Last Name
Occupying which Buildings (&/or Rooms)
24/7 Personal Phone (Home or Cell)
Date & Time You Arrived?
What time do you plan to leave?
By clicking submit, you are attesting that you have not experienced any of the following symptoms within the last 72 hours:
* Fevers or feeling feverish
* Chills and/or repeated shaking with chills
* Shortness of Breath
* Muscle or Body Aches
* Fatigue (tiredness)
* Loss of taste or smell
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Centralia College.