Building Entry Questions for Students
In an effort to reduce our risk to COVID-19, we will require that all parents/guardians complete the Building Entry Screening Questions Related to COVID-19.  Your typed name and date on the Screening questions will serve as your digital signature attesting that all of the information provided is true and accurate to the best of your knowledge.
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Test *
Parent/Guardian Name *
Student's Campus *
Date *
MM
/
DD
/
YYYY
In the last 48 hours, has the student had any of the following symptoms unrelated to any other medical conditions that they                              already have? * *
Yes
No
Fever of 100.0° or above or felt feverish (could include alternating shivering & sweating)
New or unexplained chills
New or unexplained cough
New or unexplained trouble breathing, shortness of breath, or wheezing
New or unexplained fatigue
Sore throat
Diarrhea
New or unexplained nausea or vomiting
New or unexplained muscle aches
New or unexplained headache
New or unexplained congestion or runny nose
New or unexplained loss of smell, taste, or change in taste
 Does the student have a test confirmed case of COVID-19 or has the student been in close contact with a person with a confirmed case of COVID-19? *
Is the student or someone in your household awaiting COVID-19 test results? *
Has the student traveled internationally or been on a cruise in the past 14 days? *
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