Covid Screening Form

Students, faculty and staff save time and LOGIN

1. To your knowledge, have you been in close contact in the past 14 days with anyone who has tested positive for COVID-19 or had symptoms of COVID-19?
2. Have you tested positive for COVID-19 in the past 14 days?
3. Have you experienced any symptoms of COVID-19 in the past 14 days?
  • fever over 100 degrees
  • shortness of breath or difficulty breathing
  • chills and/or muscle ache
  • dry cough
  • sore throat
  • loss of taste or smell
  • confusion
  • blueish face or lips
4. Have you traveled Internationally in the past 10 days?