COVID Close Contact & Positive Test Form

COVID Close Contact & Positive Test Form

Please fill out this form if you have had close contact with anyone that has tested positive for COVID, or have received a positive COVID test. If you need to report multiple people, please submit an additional form for each person you need to file a report for.

Is this a student, faculty member, or administrative staff? *
What campus is this person connected with? *
What campus do you work from? *
Rhetoric Grade Level *
North Grammar/Dialectic Grade Level: *
South Grammar/Dialectic Grade Level: *
Model *
Are you reporting close contact, or a positive COVID test? *
Does this person live in your immediate household? *
If the person in question is part of your family, have they been able to self isolate from everyone else? *
Are you showing any symptoms? *
Are they involved in Sports or other extracurricular activities? *
Have any Academy families (including your own) been exposed to the person in question 48 hours prior to the onset of symptoms? *
If the person in question is part of your family, have they been able to self isolate from everyone else? *
Maximum upload size: 25MB