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BRCC's Daily Symptom Check Form for Students Coming to Campus
Students must complete this form each day they come to a BRCC location.
Today's date *
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Student's first and last name *
I understand anyone 65 and older and those with underlying medical conditions are at a higher risk of severe illness from COVID-19. I understand that there is an additional concern of infection if there is direct care responsibilities for others in a vulnerable population. *
Have you tested positive for the Coronavirus? *
If yes, please indicate when you tested positive?
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In the last 72 hours, have you experienced any of the following symptoms? Check all that apply. *
Required
Have you been around anyone with the symptoms listed above in the last 2 weeks? *
Your initials *
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