COVID-19 Guest Check-InLoading...Thank you for visiting our campus, and for adhering to all state, local and university COVID-19 safety protocols while you are here.Legal First NamePreferred First NameLegal Last NamePhoneEmail AddressWere you invited to provide a service on behalf of the university (such as a worship speaker, guest lecturer, volunteer)?Were you invited to provide a service on behalf of the university (such as a worship speaker, guest lecturer, volunteer)?YesNoType of service you are providing (worship speaker, guest lecturer, volunteer, etc):Name of WWU person who is officially hosting you:Email of WWU HostDate you will be on campusAccording to Washington state requirements, invitees who provide a service requested by WWU are considered "guest employees" and must confirm their vaccination details. Please upload your vaccination record here.COVID-19 Vaccination RecordI agree that: I will NOT travel to WWU or be present on campus if I have symptoms of COVID-19, specifically: Fever or chillsCoughShortness of breath or difficulty breathingUnexplained muscle or body achesNew fatigueNew loss of taste or smellSore throatDiarrheaHeadacheNausea or vomitingCongestion or runny noseI will promptly report to WWU if any of the following are true: Within 14 days prior to my visit I have contact with anyone that I know has had COVID-19 or COVID-like symptoms (contact is considered less than 6 feet for more than fifteen minutes, or having direct contact with fluid from a person with COVID-19).If I receive a positive COVID-19 test for active virus within 10 days prior to my visit to WWUIf within 14 days prior to my visit a public health or medical professional instructed me to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infectionI agree that: I will NOT travel to WWU or be present on campus if I have symptoms of COVID-19, specifically: Fever or chillsCoughShortness of breath or difficulty breathingUnexplained muscle or body achesNew fatigueNew loss of taste or smellSore throatDiarrheaHeadacheNausea or vomitingCongestion or runny noseI will promptly report to WWU if any of the following are true: Within 14 days prior to my visit I have contact with anyone that I know has had COVID-19 or COVID-like symptoms (contact is considered less than 6 feet for more than fifteen minutes, or having direct contact with fluid from a person with COVID-19).If I receive a positive COVID-19 test for active virus within 10 days prior to my visit to WWUIf within 14 days prior to my visit a public health or medical professional instructed me to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infectionYesI agree to comply with all state, local and university COVID-19 safety protocols during my visitI agree to comply with all state, local and university COVID-19 safety protocols during my visitYesNoFull NameToday's DateReason for visit:Name of person you plan to visit:Please list the names of any others in your party:Date you plan arrive:Date you plan to leave:Campus locations you plan to visit:Do you have any of the following symptoms? Fever or chillsCoughShortness of breath or difficulty breathingUnexplained muscle or body achesNew fatigueNew loss of taste or smellSore throatDiarrheaHeadacheNausea or vomitingCongestion or runny noseDo you have any of the following symptoms? Fever or chillsCoughShortness of breath or difficulty breathingUnexplained muscle or body achesNew fatigueNew loss of taste or smellSore throatDiarrheaHeadacheNausea or vomitingCongestion or runny noseYesNoWithin 14 days prior to your visit, have you had contact with anyone that you know has had COVID-19 or COVID-like symptoms (contact is considered less than 6 feet for more than fifteen minutes, or having direct contact with fluid from a person with COVID-19).Within 14 days prior to your visit, have you had contact with anyone that you know has had COVID-19 or COVID-like symptoms (contact is considered less than 6 feet for more than fifteen minutes, or having direct contact with fluid from a person with COVID-19).YesNoHave you had a positive COVID-19 test for active virus within the past 10 days?Have you had a positive COVID-19 test for active virus within the past 10 days?YesNoWithin the past 14 days, has a public health or medical professional instructed me to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?Within the past 14 days, has a public health or medical professional instructed me to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?YesNoSubmit