YOU SHOULD ONLY COMPLETE THIS FORM IF YOU
➜ RECEIVED A POSITIVE TEST RESULT FOR COVID-19, OR
➜ CURRENTLY HAVE SYMPTOMS OF COVID-19.
Completing this form is voluntary. Information submitted using this form will be viewed by a limited number of College officials, and will not be shared with organizations outside of ECC. Collected data will be used to facilitate a healthy campus environment for our students, faculty, and staff.