Travel Notification Form

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Travel Notification Form

Travel Notification Form

This form is for all students, faculty, and staff remaining on campus. The purpose of this form is to notify the Office of Health and Wellness of travel outside in order to protect the health and safety of all campus community members.

5Questions

1
Name* This field is required.
First Name
Middle Name
Last Name
2
Lyon Email* This field is required.
example@example.com
3
Lyon ID Number* This field is required.
4
Travel Destination and DatesPlease provide your dates of expected travel and where you plan to travel.
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Large
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Small
Ok
Ok
5
Travel ActivitiesPlease provide your expected travel activities (e.g. hiking, appointment, etc.).
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Ok
Ok
Should be Empty:

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