Please complete this form each day you plan to come to campus, prior to your arrival. If you live on campus, please complete this form every day. Information provided may be reviewed by Redeemer's Campus Care Registered Nurse.
Please answer the questions below as accurately as possible. Please note that the information gathered here may be used by Redeemer to monitor health trends among its students and employees. Information will be kept securely, access will be limited to a small number of Redeemer staff on a need-to-know basis, and information will be deleted as soon as it is no longer required. If you indicate that you have symptoms, you may be contacted by Redeemer's Campus Care registered nurse.
(check all that apply)
If you are fully vaccinated, select “no.”