Covid-19 Best Practices - Prevent the Spread

First and Last Name

Please enter your full first and last name. i.e. Joe Mountie

Please enter your Mt. SAC Student or Staff/ Faculty Number.

Email Address

Please enter your email address. i.e. joemountie@mtsac.edu

Phone Number

Please enter your home or cell phone number. i.e. 909-274-0000

Phone

Preferred Method of Contact

Phone

Screening Guidelines

The below Screening Guideline will be used with every Student while on campus or off-site location, that are having COVID like symptoms. Students will not be allowed to return to campus until cleared by a Medical Professional. If you are sick with COVID-19 symptoms or have been exposed to COVID-19, must contact the Contact Tracing line at (909) 274-6900 as soon as possible.

Have you tested positive for COVID-19 in the past 14 days?

Yes

Have you or anyone in your home been instructed by a healthcare provider or public health official to self-isolate or self-quarantine in the past 14 days?

Yes

In the last 14 days, have you been in close contact with a person who is a confirmed positive COVID-19 case (within 6 feet for more than 15 minutes)?

Yes

Are you experiencing influenza or COVID-19 like symptoms?

Yes

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