Lassonde Daily Tracking Form
Lassonde Daily Tracking Form
Complete daily before entering any of the Lassonde Engineering spaces
Full name as it appears on your YU Card
*
Please check off which buildings that you intend on accessing today.
*
Please check off which buildings that you intend on accessing today.
Bergeron Center of Excellence
Petrie
Lassonde
LSB
Farquharson
WSC
Chemistry
Sherman
4751 Keele
Central Square/Mailing room
Other (Please specify below)
Other (Please specify below)
Date of visit (Same day entry only)
Date of visit (Same day entry only)
*
/
MM
/
DD
YYYY
Approximate time of arrival
Approximate time of arrival
*
:
HH
MM
AM
PM
AM/PM
Estimated time of departure
Estimated time of departure
:
HH
MM
AM
PM
AM/PM
What is the purpose of your visit?
*
What is the purpose of your visit?
Teaching & Learning (Lab/tutorial/class)
Research
Non-teaching related work
Accessing services
Third-party contracting work
Other (Please provide details in comments box below)
Enter your manager or designated academic administrator's e-mail (For others, please put LEcovidverification@lassonde.yorku.ca)
*
Additional Comments.
During my visit,
*
During my visit,
I will do my part and give others space while in the building
I will abide by
York University’s Mask or Face Covering Protocol.
I have completed YU Screen and am cleared to be on campus
Upon clicking on Submit, you will be directed to YU Screen. Also, you attest that you will have completed YU Screen prior to being on site today. if you do not meet any of the YU Screen requirements, you attest that you will not be on site today.