Covid Test Results Submission Form
Please fill out this form once for each student or educator who will be returning to campus on or after February 22, 2021.
First and last name of person whose test results are being submitted.
Student ID Number
Full name of parent submitting test results (if applicable)
Phone Number of adult submitting test results
Please enter a valid phone number.
Email Address of adult submitting test results.
Date Test was taken.
Please select the appropriate designation for the person whose test results are being submitted.
Which on campus cohort is the student assigned to?
Upload Test Results
Drag and drop files here
Choose a file
A scanned PDF, JPEG/image file, or screenshot of test results.
Should be Empty: