ISB Covid-19 High Risk Contact Sheet

ISB Covid-19 High Risk Contact Sheet
Dear ISB Student/Parent,

Please complete this to the best of your ability. Note: All answers will be confidential and used for contact tracing purposes only. These listed individuals will be notified for further investigation and if deemed a high risk contact, will need to refrain from returning to campus until otherwise indicated. Home quarantine is recommended.
Enter ISB Student Number*
Name

Day 2 (Yesterday)
Which students did you eat lunch with or have snacks with today at school or outside of school?*
Did you attend any appointments or meetings during the school day apart from your academic schedule (counselor, etc.)?*

YesNo
Please provide details (appointments or meetings)*
Do you participate in any extracurricular activities?*

YesNo
Please provide details (extracurricular activities)*
Did you attend an event that may be considered high risk within the past twoweeks (i.e. social gatherings)*

YesNo
Please provide details (Activities)*
Do you take a Montri van to school?*

YesNo
Morning route number*
Afternoon route number*
Please list any other contacts you feel should be notified:*
Should be Empty:

TODAY (Day 1)