The information I am submitting is complete and accurate to the best of my knowledge.
I understand this information is being collected for the purpose of infection prevention and public health safety.
I acknowledge the information I have provided will be used for decision-making regarding my entry to campus, and/or attending a SouthernTech event, on or off campus.
I understand this form is not intended for use regarding my personal medical evaluation, advice, decisions, and/or treatment. Seek care from your primary care provider or emergency services, as appropriate, for any personal medical needs.