This tool will help you perform a self-assesment to determine if you are clear to report to our campus.
- Each staff member and student MUST take the assessment each day before reporting to school.
- This tool is based on CDC and ODH guidelines.
- More info: coronavirus.ohio.gov

Mask Guidance:
Masks are currently required for everyone over the age of 2 in Ohio per Gov. Dewine and the Ohio Department of Health.
More info:  Ohio Order on Mask


* Required

Email Address:  *  
Staff/Student First Name:   *      
Staff/Student Last Name:   *      
Building:   *  
           

Have you been within 6 feet of a person with a lab confirmed case of COVID-19 for at least 5 minutes or had direct contact with their mucus or saliva (in the past 14 days)?  *  
YES   |  NO 

In the past 24 hours, have you had any of the following NEW symptoms? CHECK ALL THAT APPLY  *
   Fever of 100.5F (38C) or above or possible fever symptoms like alternating chills and sweating
   Cough
Trouble breathing, shortness of breath, or severe wheezing
Muscle Aches
Sore Throat
Diarrhea
Loss of smell or taste or a change in taste
Headache







A copy of your responses will be emailed to the address you provided.