Requesting a PSU face mask:

In order to make sure we can provide a mask for all full-time employees and those who will actually be on campus this summer or fall, please only request masks for part-time, temporary or student employees if they will be working from campus sometime in the near future. We ask that you not simply order one for every employee in your department.

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* 1. Department requesting mask:

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* 2. Name of person completing this form:

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* 3. Number of masks needed for part-time or temporary employee(s) (limit 1 per employee):

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* 4. Name(s) of part-time or temporary employee(s) receiving masks:

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* 5. Number of masks needed for student employee(s) (limit 1 per employee):

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* 6. Name(s) of student employee(s) receiving masks:

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