In-Person Training Contact Tracing

Name*

First Last

Organization*

Phone*

Personal Cell Phone Number Preferred

Email*

Personal Email Address Preferred

What is your current status?*

I have COVID-19 symptoms and I am waiting for test results
I have tested positive for COVID-19
I found out I was exposed to someone who tested positive for COVID-19 prior to the training

Information provided will be used to contact others that might be impacted or should receive notice. Records will be destroyed within 21 days