COVID-19 Self Report Form

Have Symptoms or been exposed?

MGA employees and students are to report COVID-19 exposures, symptoms, or confirmed cases using the below form. This information will allow the University to provide appropriate resources/guidance. It will also assist MGA and public health officials with monitoring the incidence of cases occurring in our communities.

We are committed to ensuring that your submission remains confidential in accordance with applicable law and will only be used to provide support and resources. If an individual is diagnosed with a confirmed case, our public health partners will work to make sure those who have been exposed are contacted.

Cochran
Dublin
Eastman
Macon
Warner Robins
Yes
No
Yes
No