Student Travel Screening
Please complete the following form. This information will help us protect all staff, students, and community.
Have you traveled to any of the CDC identified Level 3 countries in the last month? LEVEL 3 COUNTRIES: China, Iran, South Korea, Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia,
Have you traveled to any of the following states in the last 2 weeks: California, Colorado, Georgia, Illinois, Massachusetts, or New York?
Have you traveled to any of the following Texas locations in the last 2 weeks: Dallas, Houston, Ft. Worth, Austin, San Antonio, or El Paso?
Have you been in contact with anyone known to have tested positive for COVID 19?
Are you currently, or have you exhibited in the last 14 days, the following symptoms.
shortness of breath
pain or pressure in the chest
bluish lips or face
None of the above
Please list any additional places you have traveled in the last two weeks.
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This form was created inside of Eula Independent School District.