COVID-19 Attestation Form

Community Auditors who are attending in-person classes must complete this attestation weekly during the fall 2021 semester.

Use the calendar box to choose the date.
Type your first name in the box.
Type your last name in the box.
The above person attests that they have completed a COVID-19 PCR test and the result is negative.
Please indicate the calendar week that you will not be attending class.