ADULT STUDENT CHECK-IN

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All HCCTC Adult Students should utilize this form DAILY upon entering the building.

Email *

Name *

Tell us about your day? *

I was on time and will be here all day as scheduled

I arrived late

I plan to leave early

Other:

Are you having NEW and Unexplained COVID-Like symptoms? Symptoms could include one or more symptoms such as chills, repeated shaking/shivering, cough, sore throat, shortness of breath, difficulty breathing, feeling unusually weak/fatigued, the new loss of taste/smell, muscle pain, runny/congested nose, diarrhea. *

Yes

Do you agree to follow all CDC and HCCTC recommended guidelines when entering the building such as, Face Coverings, Hand Washing, Sanitizing and Cleaning. *

Yes

Send me a copy of my responses.

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