On-Campus Visitor Request Form

Important Note

Penn State is pausing its indoor masking requirement on campuses in counties designated by the CDC as having high (orange) COVID-19 Community Levels while University officials evaluate various mitigation measures. While the indoor masking requirement is paused, the University strongly recommends that individuals wear masks while indoors.

Visitor Information

This is the contact information for the visitor or guest for whom you are requesting approval to visit the campus.

First Name

Last Name

Title/Role

Email Address

Phone Number

Organizer of the Visit

This is the Penn State employee who is requesting this visit. Typically, this is the contact information for the person filling out this form.

First Name

Last Name

Email Address

Phone Number

Briefly explain the purpose of the proposed visit.

Visit Details

Visit Location

Visit Start Time

Visit End Time

Provide a compelling reason for why the visit must take place face-to-face rather than virtually.

Provide the state and county the visitor is traveling from and all points visited 14-days prior to the proposed visit.

Concisely explain how the organizer will meet the state of Pennsylvania’s regulations for stopping the spread of the virus.*
See https://www.health.pa.gov/topics/disease/coronavirus/Pages/Stop-the-Spread.aspx for state requirements.

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