FMSD COVID Reporting Form: Student
If you have multiple students who have been impacted by a COVID-19 case or are also a district employee impacted by a COVID-19, you must submit a separate form for each student/staff member. This form is for students only. The staff form can be found on our COVID-19 response page on the district website.
* Required
Email address
*
Your email
Student's Legal First Name
*
Your answer
Student's Legal Last Name
*
Your answer
Student ID Number (ex. 8222123456 or 9500001501234): If you do not know your student's ID number, log into PowerSchool and it will appear at the top of your screen.
*
Your answer
Student's Birthday
*
MM
/
DD
/
YYYY
Student's School
*
Choose
BTMS
CRHS
DBES
FMES
FMHS
FMMS
GHES
GHMS
KTES
NFHS
OPES
PKES
PKMS
RTES
RVES
SFES
SFMS
SCES
TCES
Student's Grade Level
*
Choose
Pre-K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Is your student a Face-to-Face or virtual (FMVA) student?
*
Face-to-face (A/B or 5 days a week)
FMVA
Parent's Name
*
Your answer
Parent Phone Number
*
Your answer
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