The information on this site is primarily focused on WKU's response to COVID-19 for the spring and summer of 2020. For the most up-to-date information about WKU's operational changes for the 2020-2021 academic year, visit www.wku.edu/healthyonthehill.

Travel Disclosure Form

For your safety and the safety of others on Western Kentucky University campuses, we ask that you please fill out the following form. By gathering information about Hilltopper travel history, the University can monitor the situation and make better informed decisions.

If you see this don't fill out this input box.

* Name

* WKU ID Number

What is your WKU 800 number?

* Email Address

* Contact Phone Number

* Classification

* Where do you live?

On campus

Off campus

Please list your recent dates of travel

Please list your travel location(s)/destination(s)

Have you been to a country that is considered high risk for COVID-19 within the past 14 days? If so, please list the country visited..

* Have you been exposed to a known or suspected case of COVID-19? If so, please explain.

* Have you been to any location (city, campus, etc.) within the past 14 days that has a reported or confirmed case of COVID-19? If so, please explain.

Contact Information

For any questions or concerns please email us at covid.help@wku.edu.

Send an Email

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