If you are human, leave this field blank.Thank you for reporting to the SSC Response Team. After reporting, please remain at home until a team member contacts you to discuss your information, which may take up to 24 hours. A team member may respond by Stark State email or phone. Please make sure to check your Stark State email and provide a good phone number to reach you. Reporting type *Experiencing symptomsPositive testExposureQuarantineFollow upStark State role *StudentEmployeeVisitorFirst name *Last name *Student/employee ID# *Phone *Stark State email *Are you fully vaccinated? *YesNoPer the CDC, you are not fully vaccinated until 2 weeks after the second dose of a 2-dose vaccine or 2 weeks after a single-dose vaccine.If you are vaccinated, have you received a booster shot?YesNoIf you have received a booster shot, which brand was your booster shot?PfizerModernaJohnson & JohnsonIf you have received a booster shot, what was the date of your shot?Have you been contacted by your local health department? *YesNoCounty you live in *What was the last date you were on campus? *Were you in close contact (less than 6 feet for 15 minutes or more in a 24-hour period) with anyone on campus during the last two days you were on campus? *YesNoIf you answered yes to the previous question, list any close contact(s) and a contact number(s), if known?Do you have any additional information you would like to report?reCAPTCHA is required.Submit