Coronavirus Guest Survey | Marist College

COVID-19 Guest Self-Reporting Instructions

The New York State "New York Forward" Reopening Plan requires visitors to complete the Self-Reporting Survey below before coming to campus.

Each member of your group will need to fill out this form individually. If a member of the group is under 18, the parent or legal guardian of the person listed can fill out the form.

For more information regarding visiting campus click here.

I am completing this form as myself. I am completing this form as the parent or legal guardian of a person under the age of 18.

Enter the name of the person this form is being completed for

First Name (Required)

Last Name (Required)

Preferred Email Address (Required)

Date of Visit (Required)

Select Group for your Visit (Required)

Are you in violation of the New York State COVID-19 travel advisory guidelines?

Yes No

Have you experienced any of the following symptoms of COVID-19 in the past 14 days?

Fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea.

Yes No

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

Yes No

By clicking SUBMIT, I consent to MARIST COLLEGE documenting this health screening information pursuant to the requirements of New York State's Mandatory Guidelines. I agree that I have answered the screening questions honestly and to the best of my knowlegde.

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