Travel Notification Form

Your Name*

First Name

Last Name

Seton Hall Email Address*

I am a...*

Student Faculty Member / Employee

School/College

Do You Live on Campus?*

Yes No

Which Residence Hall Do You Live In?*

Aquinas Hall Boland Hall Cabrini Hall Neumann Hall Ora Manor Serra Hall Turrell Manor Xavier Hall

Have you traveled in the past two weeks?*

Yes No

Where did you travel? *

City

State/Province

Country

What date did you return from your travel?

Do you plan on traveling in the near future?*

Yes No

Where Are You Planning to Travel?*

City

State/Province

Country

When Are You Planning on Leaving?*

When Do You Anticipate You Will Return?*

What is your reason for traveling?