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Optional pre-Thanksgiving COVID 19 Testing Registration Form
1.
What is your name?
2.
What is your Jewell ID number?
3.
What is your email address where we can send confirmation and information about this testing?
4.
Identify your status at the College:
Student
Faculty Member
Staff Member
5.
If you are a student, identify your residential status.
Campus Resident
Commuter Student
6.
Have you tested positive for COVID 19 since August 20, 2020
Yes
No
7.
Indicate the day you will take the test:
Tuesday, November 17, 2020 between 1 p.m. and 5 p.m. (arrive no later than 4:30 p.m.)
Wednesday, November 18, 2020 between 8 a.m. and 12 p.m. (arrive no later than 11:30 a.m.)
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