Request more info about a Marion Made college education
Giving
Alumni
Cadets
Employees
Parents & Families
Events
Bookstore
Academics
+
Degree Programs
+
Faculty
+
Catalog
+
Academic Calendar
+
Academic Success Center
+
Academic Resources
+
Registrar
+
Transcript Request
+
Transfer Information
+
Library
+
Student Success & Achievement
+
Admissions
+
Apply Now
+
Prospective Students
+
Visit Us
+
College Preview Days
+
Schedule a Campus Tour
+
Register for a Remote Info Session
+
Scholarships
+
Tuition and Fees
+
Leadership Education Program
+
Army ROTC Early Commissioning Program
+
Service Academy Program
+
Viewbook
+
Admissions Team
+
Accepted Students
+
Important In-Processing Information
+
Financial Aid
+
About MMI
+
Office of the President | Governance & Support
+
Administration
+
Organizational Chart
+
History
+
Mission
+
Accreditation
+
Marion Community
+
Institutional Research
+
Consumer Information
+
Fast Facts
+
Financial Information
+
Facilities
+
Campus Map
+
Information Technology
+
Alabama Military Hall of Honor
+
Campus Life
+
Calendar
+
Clubs and Organizations
+
Anthony J. Rane Center for Leadership
+
Intramurals
+
Flight Training
+
First Responder Career Prep
+
Golf Course
+
Parades
+
Athletics
+
Apply
Apply
Employee Contact Tracing Form
What is your name?
(Required)
First
Last
Your Email Address
(Required)
What date did you become ill OR receive a positive test (whichever came first)?
(Required)
MM slash DD slash YYYY
Subtract 2 days from the date of illness/positive test. This is your contact tracing date; please enter it below.
(Required)
MM slash DD slash YYYY
How many ON-CAMPUS close contacts have you had since your contact tracing date? (Please see definition of "close contact" below)
(Required)
A "close contact" is anyone who has been closer than 6 ft. to you for a CUMULATIVE of 15 min. in a 24-hour period while unmasked since the contact tracing date you input above.
None
5 or fewer
More than 5
Contacts 1-5 Information
Contact #1
(Required)
First
Last
Contact #1 Department
Contact #1 Phone Number
Last date of contact
(Required)
MM slash DD slash YYYY
Was Contact #1 masked?
(Required)
Yes
No
Were you masked?
(Required)
Yes
No
Were you closer than 6 ft. apart?
(Required)
Yes
No
Contact #2
First
Last
Contact #2 Department
Contact #2 Phone Number
Last date of contact
MM slash DD slash YYYY
Was Contact #2 masked?
Yes
No
Were you masked?
Yes
No
Were you closer than 6 ft. apart?
Yes
No
Contact #3
First
Last
Contact #3 Department
Contact #3 Phone Number
Last date of contact
MM slash DD slash YYYY
Was Contact #3 masked?
Yes
No
Were you masked?
Yes
No
Were you closer than 6 ft. apart?
Yes
No
Contact #4
First
Last
Contact #4 Department
Contact #4 Phone Number
Last date of contact
MM slash DD slash YYYY
Was Contact #4 masked?
Yes
No
Were you masked?
Yes
No
Were you closer than 6 ft. apart?
Yes
No
Contact #5
First
Last
Contact #5 Department
Contact #5 Phone Number
Last date of contact
MM slash DD slash YYYY
Was Contact #5 masked?
Yes
No
Were you masked?
Yes
No
Were you closer than 6 ft. apart?
Yes
No
Contacts 5+ Information
Please list any additional close contacts below.
Add
Remove
Do you verify that ALL of the additional people above meet the definition of a "close contact"? (Were within 6 ft. of you for longer than 3-4 minutes without masks since your contact tracing date?)
Yes
No
Other
