Please complete this form each school

day after 06:00 am.

​

Have you or ANY student in your household experienced any of the following symptoms in the previous 14 days:
 

• Fever >100.3, Chills, Cough,  or Sore Throat

• Shortness of Breath or Difficulty Breathing

• Decreased Ability to Taste or Smell

• Runny or Congested Nose

• Muscle or Body Aches or Fatigue

• Headache

• Diarrhea, Nausea, Vomiting 

OR

• Been in close contact with someone diagnosed with COVID-19

 

If you will not be participating in on-campus instruction due to prior symptoms/exposure please also select YES.