EXIT STU Post Travel Registration Form You are being asked to complete this registration because you recently traveled to a country for which the Centers for Disease Control and Prevention (CDC) has issued a Travel Health Notice due to the spread of the COVID-19 (Coronavirus). OK Question Title * 1. Contact Information First Name * Last Name * STU ID Email Address * Phone Number * OK Question Title * 2. What is your primary affiliation to STU? Undergraduate Student Graduate Student Employee OK Question Title * 3. Do you live on campus? Yes No OK Question Title * 4. During your travels, did you ever travel through an area that had a CDC issue Warning Level 3 Travel Health Notice? Yes No OK Question Title * 5. If you responded yes to the previous question, what country have you traveled to prior to your arrival to the USA? OK Question Title * 6. Date of Travel Date / Time Date OK Question Title * 7. Date of arrival in the United States Date / Time Date OK DONE
