Submit a Positive COVID-19 Test Result - STUDENT
Please use the form below to inform us about your positive COVID-19 test result.
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Name of student with positive COVID-19 test *
Student's Date of Birth *
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What school does the positive student attend? *
Grade level of positive student *
Date that symptoms started (enter 01/01/0001) if no symptoms) *
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Date that COVID-19 test was taken *
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Has the student been hospitalized due to COVID?
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Last day positive student was in school *
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Is the positive student involved in school based activities (sports, theater, etc)? If so, please indicate below. *
Please indicate if you would prefer follow up communication via Phone call or Email. *
Phone Number or Email for follow up. *
Does the positive student attend EdVenture Club? *
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