Student Travel Test Request

First Name

Last Name

Date of Birth

Phone Number

Your Email Address

Gannon ID

Have you completed a test 72-hours prior to your arrival on campus? No Yes

Available Times

Please provide two preferred one-hour time options for testing on Sunday, Jan. 24 between 10 a.m. and 3:30 p.m. (Example: 10-11 a.m. or 2-3 p.m.)

Note: These times will be considered when scheduling your test, but are not guaranteed.

Please attach documentation of your test results.

Please wait until your file has finished uploading before clicking on the submit button. When sucessfully uploaded, it will say done and the file will turn green.