Student COVID Case Questionnaire

Please Review the Student Information

Uploading Information

Student COVID Case Questionnaire

Please enter the following information for reporting purposes. You will receive an email with appropriate guidance including return to school dates once the information is processed. Thank you!

Parent & Guardian Information

First Name

Last Name

Please provide an email address.

Student Parent & Guardians

	First	Last	Email

Exposure

Was your student exposed to someone with COVID-19 prior to testing positive?

Select Yes/No/Unknown.

Exposure Location

Select the exposure location.

When was the last date the student attended the school campus? (including athletic activities)

Does your student participate in high school athletics or in an after-school program? If yes, please enter the athletic team or program.

Additional Comments

Please Review the Student Information

Uploading Information