Health Check Form
All SCS staff and faculty must complete this health check form meeting in-person on any SCS campus or teaching site effective January 31, 2022 until further notice.

After submitting this form, you will receive an email confirmation to the address you provided.
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First Name *
Last Name *
Email Address *
Location *
Select all the locations you will visit today (if you plan to visit more than 1 location)
Required
Do you have a fever OR a combination of 2 or more of the following symptoms? 1) Fever, 2) Drainage 3) Congestion, 4) Sinus Pressure, 5) Headache, 6) Chills, 7) Loss of Taste or Smell, or 8) Loss of Appetite. *
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. I recognize that Stark College and Seminary (SCS) cannot limit all potential sources of COVID-19 infection. I understand that SCS has put in place safety rules and precautions in order to mitigate the spread of COVID-19, which rules and precautions I agree to follow. These precautions cannot guarantee that I will not be exposed to COVID-19.  SCS's services are of such value to me that I accept the risk of being exposed to, contracting, and/or spreading COVID-19. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself. *
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