WCJC International Travel Information
The registration form below is for WCJC students, faculty and staff who are:
Returning from a CDC Level 2 or Level 3 country (see
for more information)-or-
Planning any international travel
Name (First and Last):
Student/employee ID number:
WCJC email address:
Are you planning on traveling or are you currently traveling outside the United States?
Yes, I am planning on traveling/currently traveling
No, I am not planning on traveling/currently traveling
Where are you planning to travel?
Other country not mentioned above (please specify below)
Specify another travel destination (if the country you are traveling to is not listed above, please specify here.)
Have you traveled to Mainland China, Iran, Italy, South Korea, Japan or any other international location since January 1, 2020?
If yes, please describe where and when you traveled:
What is the reason for your travel?
College business/college-sponsored purpose
Please describe your travel plans. Include U.S. departure and U.S. arrival dates and locations visited (city/country).
Are you intending to return to WCJC after your travel?
College Point of Contact: (For faculty and staff, please identify a point of contact at the College.) This may be your department chair or your supervisor. Include name, department, email address and phone number.
Personal Point of Contact: Please identify an emergency contact outside the college including name, relationship, email, and phone number
Are you aware that you must self-quarantine for 14 days prior to returning to the college if you have traveled to China, Iran, Italy, South Korea, Japan or any other country determined to be a Level 2 or Level 3 by the CDC?
Yes, I am aware I must notify the college after the 14-day self-quarantine
No, I was not aware I must notify the college after the 14-day self-quarantine
Should be Empty: