What's your best contact number? Tip: (888) 888-8989
Local School Address
Are you symptomatic?
(check all that apply option)
When did your symptoms begin?
Are you a Close Contact with a person who is symptomatic?
Are you a Close Contact with a person who is currently positive with COVID-19?
Have you taken a COVID-19 test in the past two weeks from the date of this form?
Do you have a test scheduled?
Are you fully vaccinated (two weeks past your last COVID-19 vaccine dose)?
If yes, what day did you get that test taken or is it scheduled for?
Do you have any health information (pre-existing medical condition, allergies, mental health concerns) that would be helpful for us to know as we provide guidance on next steps and if needed, support you during your isolation?
Any additional information you feel our team needs to be aware of
If you live on campus and it is outside business hours, please contact your hall director for immediate assistance.