Travel Questionnaire

Demographics
Please enter the number where you can be reached immediately, if necessary.
Visit Details
Which IAS school/program are you visiting?
Are you a...
Additional Questions
1. Do you have symptoms of COVID-19, such as fever, chills, cough, shortness of breath, head or muscle aches, sore throat, new loss of smell or taste, nasal congestion/runny nose, nausea, diarrhea or vomiting?
2. Are you feeling ill with any symptoms not mentioned above?
3. Do you have a fever?
4. In the past 14 days, have you been in close proximity to anyone who was experiencing any of the above symptoms?
5. In the past 14 days, have you been in close proximity to anyone who has tested positive for COVID-19?
6. In the past 10 days, have you traveled either domestically or internationally?
7. Are you fully vaccinated? The definition of fully vaccinated is two weeks after you have received the second dose of a 2-dose series or two weeks after you have received a single-dose vaccine.
Thank you for completing this form. 

We ask that you NOT come to campus until you have been notified that your visit has been officially approved.