COVID-19 Voluntary Disclosure Form

Cogswell University of Silicon Valley is asking faculty, staff, and students to utilize this form to voluntarily disclose if they are in self-quarantine or self-isolation. The information will be kept confidential in accordance with HIPAA and FERPA, and will be used to assist the university in tracking employees’ use of sick leave, to help understand the impact to the Cogswell community, and to aid the Santa Clara Health Department in their contact investigations when new COVID-19 cases are identified. For employees, voluntary disclosure will have no implications on their job status.

COVID-19 Voluntary Disclosure Form