Module 5 COVID test sign-up

Module 5 COVID Information & Testing Sign-Up
All students are required to submit this form by February 26, 2021, sharing their learning plans for Module 5.

Module 5 COVID testing will be available in the Mitchell Fine Arts building parking lot (enter on 4th st). Module 5 COVID testing will only be available to currently enrolled students. If you are a faculty or staff member and are looking to be tested, please reach out to campusclinic@transy.edu.
Name *

First Name Last Name
Transy Email *
example@example.com
Do you currently live on campus or off campus? *

On Campus Off Campus
Are you a student-athlete? *

Yes No
Are you able to receive your drive through COVID test in the MFA parking lot or do you need to make other arrangements? *

Yes, I can participate in drive through testing. No, I can not participate in drive through testing and need to make other arrangements. No, I will not participate in drive through testing because I will not be living on campus and will be learning remotely for Module 5. No, I do not need to have a COVID test performed because I have tested positive in the last 90 days. No, I am a student athlete and participating in testing through athletics.

In order to prepare for your test, please follow the following steps:

Step 1) Print off and complete the LabTox form linked below. Bring it with you to your test appointment.

Step 2) Show up for your appointment during your selected timeframe. Remember to bring your student ID, insurance card, and the completed LabTox form. All individuals in the vehicle must wear a mask.

Step 3) As with initial move in, test results are expected within 24 hours, and students will be asked to limit exposure to others until they have been notified by campus health that they have a negative test result. Students are required to attend classes remotely and utilize the grab-and-go option for meals in the RAF until their test result is received.
Print, complete, and bring this form with you to your COVID test appointment.
Have you confirmed with your Coach that you ARE NOT being tested with your team? Student-athletes who are currently practicing or competing will be tested through the Athletics Department. Information on your fall break return testing will be communicated via your coaching staff. If "NO" please discontinue completing this form and contact your Coach.

Yes No
Please select your preferred drive through COVID test time.

Thank you for submitting the Module 5 COVID Information & Testing Survey. If you have further questions or need information about your plans for Module 5, please contact campusclinic@trnsy.edu.

Stay safe and warm for the rest of Module 4!
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Module 5 COVID Information & Testing Sign-Up