Covid-19 – Self-evaluation and Declaration

1. Do you know you have COVID-19?*

2. Are you waiting for the result of a COVID-19 screening test?*

3. Are you experiencing one or more of these symptoms:*

4. In the last 14 days, have you been in close contact with a person who tested positive for COVID-19?*

You can go to the College.

You MUST complete the declaration form below.

COVID 19 – DÉCLARATION ET INFORMATIONS

If you answered YES to one of the self-evaluation questions, you must declare it to the College. Do not come to the College.

You are?*

Name*

Prénom Nom

Student number*

Employee number*

Phone*

Email*