Carroll Community College


Campus Check-In Self Declaration Form

Please answer the following questions. You will receive an email message which you can display on your phone to gain entrance to the building today. Please check your email after completing this form, and be prepared to display the emailed check-in response when you arrive on campus. If you have used this form before your previously entered information may be displayed. Review and update the form each day to be sent a valid check-in email.

◆ Note for students who are currently employed, or in a clinical rotation, in the health care industry: By selecting “No,” you agree that during your employment/activity at a health care site, you have observed and properly maintained all safety measures and personal protective equipment use.