Student Pre-Screening Form
Everyone planning to be on campus and entering a building must submit this form prior to arrival. If you answer yes to any of the following questions please stay at home and email firstname.lastname@example.org that you will not be able to attend class.
*If you are experiencing any of the symptoms listed because of a known/preexisting/managed condition you are not required to check the corresponding box (ex. you do not need to check the box for “Shortness of Breath” if you suffer from asthma, etc.)