This form should be completed ONLY IF you are an employee or student who is CURRENTLY WORKING OR IN CLASSES ON CAMPUS AND:
- Currently have symptoms of possible COVID-19 infection
- Have tested positive for COVID-19
- Have had close contact with and/or live with someone who has been diagnosed with COVID-19
- Traveled internationally or on a cruise ship in the past 14 days
If you have questions, please email firstname.lastname@example.org. If this is an emergency, please call 911.
Answers to the questions below will go directly to Bryan College personnel. Please list the best phone number in order for us to contact you appropriately.