COVID Positive Test Reporting Form

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Please fill out this form completely if you have tested positive on any COVID test (PCR, rapid PCR, Rapid or At-Home kit)

Students, please communicate with your teachers directly (e-mail list found here: https://drive.google.com/file/d/1P5vqn8iWgMFEhywIYAkhitSHSYqWoPW_/view about how long you will be quarantined, remember to update them if things change. Teachers will then provide you with instructions for remote learning while you are quarantined.

Email *

Are you a Student or an Employee? *

Student

Employee

Student OSIS # or Employee ID/File # *

First Name *

Last Name *

Best Phone Number *

Date of your Birth *

YYYY

Date of the Positive COVID Test *

YYYY

A copy of your responses will be emailed to the address you provided.

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