COVID-19 Testing & Vaccination Submission Portal
Please select the event you are planning to attend
*
Please Select
Homecoming 2022
Fall 2022 Student Arrival Covid Test Results
COVID Vaccine/Booster Upload
COVID Exemption Request
Weekly COVID Testing
Open House
Campus Tour
Test Results must be dated within 3 days of arrival
Role
*
Please Select
Faculty/Staff
Hornet Ambassador
Student
Contractor
BOT
Visitor
University ID# (D100)
*
Please include the D
DSU Email Address
*
example@example.com
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Have you been vaccinated?
Yes
No
Are you up to date with your booster shots
Yes
No
When did you receive your most recent dose of the Moderna/Pfizer booster
-
Month
-
Day
Year
Most Recent Booster Date
Are you submitting a Vaccination Card or Covid-19 Test Result
Vaccination Card
COVID-19 Test Result
PLEASE CONTACT CAMPUS HEALTH @ 302-857-6393
Upload a photo or copy of your COVID-19 Vaccination/Booster Card
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
COVID-19 Test Date
*
-
Month
-
Day
Year
COVID Test Date must be no more than 3 days prior to event date (except Weekly COVID Testing)
COVID-19 Test Result
*
Negative
Positive
Upload a photo or copy of your Negative COVID-19 Test Results
*
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Drag and drop files here
Choose a file
Cancel
of
Please upload your exemption request supporting documents
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of
Please verify that you are human
*
Signature
Submit
Reporting Date
-
Month
-
Day
Year
Date
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