Covid Absence Reporting

Quarantine & Isolation Calculator - choose the appropriate scenario and form.
- Scenario 1: My student is symptomatic & tested positive for Covid-19.
  
  Symptoms began on:
  
  Return Date:
- Scenario 2: My student is asymptomatic but tested positive for Covid-19
  
  Date of Positive Test:
  
  Return Date:
- Please complete form below for your student's Covid-19 related absence:
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Name of Person Completing Form: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  How many students are you reporting absent due to testing positive for Covid-19? REQUIRED Please fill out this field.
  
  Number of Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade level
  
  Your Student's Last Day on School Campus REQUIRED Please fill out this field. Please enter a date.
  
  Does your student have symptoms of Covid-19? REQUIRED Please fill out this field.
  
  Date of Positive Test REQUIRED Please fill out this field. Please enter a date.
  
  Testing Location (Address or indicate Home if home test kit) REQUIRED Please fill out this field.
  
  Date Symptoms Began Please enter a date.
  
  Return Date as shown above in the calculator REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply - Student's Current Symptoms (day form completed) REQUIRED None Fever Chills Shortness of breath or difficulty breathing New loss of taste or smell Cough Congestion or runny nose Headache Nausea or Vomiting Sore Throat Muscle/body aches Fatigue Diarrhea Please fill out this field.
  
  Do you need to make arrangements to pick up items from their locker? REQUIRED Yes No Please fill out this field.
  
  Does your student have any other siblings at an Archdiocesan school? REQUIRED Yes No Please fill out this field.
  
  If yes, what school(s) Please enter valid data.
  
  Number of Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade level
  
  Your Student's Last Day on School Campus REQUIRED Please fill out this field. Please enter a date.
  
  Does your student have symptoms of Covid-19? REQUIRED Please fill out this field.
  
  Date of Positive Test REQUIRED Please fill out this field. Please enter a date.
  
  Testing Location (Address or indicate Home if home test kit) REQUIRED Please fill out this field.
  
  Date Symptoms Began Please enter a date.
  
  Return Date as shown above in the calculator REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply - Student's Current Symptoms (day form completed) REQUIRED None Fever Chills Shortness of breath or difficulty breathing New loss of taste or smell Cough Congestion or runny nose Headache Nausea or Vomiting Sore Throat Muscle/body aches Fatigue Diarrhea Please fill out this field.
  
  Do you need to make arrangements to pick up items from their locker? REQUIRED Yes No Please fill out this field.
  
  Does your student have any other siblings at an Archdiocesan school? REQUIRED Yes No Please fill out this field.
  
  If yes, what school(s) Please enter valid data.
  
  Number of Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade level
  
  Your Student's Last Day on School Campus REQUIRED Please fill out this field. Please enter a date.
  
  Does your student have symptoms of Covid-19? REQUIRED Please fill out this field.
  
  Date of Positive Test REQUIRED Please fill out this field. Please enter a date.
  
  Testing Location (Address or indicate Home if home test kit) REQUIRED Please fill out this field.
  
  Date Symptoms Began Please enter a date.
  
  Return Date as shown above in the calculator REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply - Student's Current Symptoms (day form completed) REQUIRED None Fever Chills Shortness of breath or difficulty breathing New loss of taste or smell Cough Congestion or runny nose Headache Nausea or Vomiting Sore Throat Muscle/body aches Fatigue Diarrhea Please fill out this field.
  
  Do you need to make arrangements to pick up items from their locker? REQUIRED Yes No Please fill out this field.
  
  Does your student have any other siblings at an Archdiocesan school? REQUIRED Yes No Please fill out this field.
  
  If yes, what school(s) Please enter valid data.
  
  Submit
  
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