Marquette Catholic COVID Guest Screening Form
Marquette Catholic High School, Alton IL
Your full name
Have you been advised to quarantine
If yes, what date were you advised you will be released?
Are you willing to submit to a temperature check before your meeting and properly wear a mask the entire time you are on our campus?
Have you tested positive for COVID 19
If yes, what date did you test positive?
If yes, what date were you released from isolation?
Have you been advised that you were exposed to a COVID positive person?
If yes, when were you exposed?
Who were you exposed to?
Do you currently have any symptoms of COVID-19? Check all that apply.
Fever over 100.4
Fever or chills
Shortness of breath or difficulty breathing
Muscle or body aches
New loss of taste or smell
Congestion or runny nose
Nausea or vomiting
When is your appointment at Marquette Catholic, please provide the date
Who are you requesting to meet with?
Mr. Slaughter (Principal)
Mrs. Snyders (Academic Dean)
Mr. Harmon (Dean of Students)
Mrs. Coles (Advancement Director)
Mrs. Hough (Development Director)
Mrs. Walsh (Business Office)
Mr. Hoener (Athletic Office)
Mrs. Crafton (Executive Secretary)
What day are you requesting meeting for?
Please Provide Your Mobile Phone Number
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