• SELF-REPORTING FORM

    This self-reporting form is to notify the Administration at Nunez Community College of persons believed to be exposed to the Coronavirus (COVID-19), including yourself. Information reported in this form will be used by a designated Nunez Administrator (Employee=HR Director, Students=Vice Chancellor for Student Affairs) to determine appropriate follow-up. Nunez Community College will take every effort to protect personally identifiable information shared in this document and will not disclose your identity or the identity of anyone with a Coronavirus diagnosis unless disclosure to safety and first aid personnel is required for emergency treatment or is otherwise required by law. The College may be required to report details, such as temperatures, symptoms, or diagnoses, to public health authorities and other governmental agencies.
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