CodeCore College - Wellness Check-in Form
This form is to be completed by CodeCore College Staff and Students twice weekly on Mondays and Thursdays
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Name *
Address *
Phone Number
Arrival Date in Canada (Skip, if not applicable to you)
MM
/
DD
/
YYYY
End of Quarrantine Date (Skip, if not applicable to you)
MM
/
DD
/
YYYY
In the last few days, I have developed the following symptoms: *
Required
In the last few days, I have tested positive for Covid-19. *
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