Travel Outside of the United States             Voluntary Self-Reporting Form  
District 205 is asking all parents to share with the school district if you or your student has recently traveled overseas or plans to travel overseas.

This request is voluntary but is being made out of an abundance of caution. Should we have a confirmed case of COVID-19, we want to have all the available information on hand to share with health officials to help leaders make the most informed decisions.

Sincerely,
District 205
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Parent First Name *
Parent Last Name *
Student School ID Number *
School *
Required
First Day Outside of U.S *
MM
/
DD
/
YYYY
Day Returned or Returning to U.S. * *
MM
/
DD
/
YYYY
Locations Visited Outside of U.S. (list all) * *
Any Additional Information
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