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Student Type: *
(select all that apply)
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Ex: LRC 303, ORU Bookstore
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Ex: EMR 202
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Have you experienced any COVID-19 symptoms since you were exposed to the individual who tested positive?
COVID-19 has a wide range of symptoms reported – from mild symptoms to severe illness.
Symptoms may appear 2-14 days after exposure to the virus.
People with these symptoms may have COVID-19:
- Fever or chills
- Cough
- Shortness of breath or difficulty breathing
- Fatigue
- Muscle or body aches
- Headache
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
- Diarrhea
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Have you notified ORU community members with whom you have been in Close Contact?
Close Contact with someone who has COVID-19, as described by the CDC, occurs when:
• You were within 6 feet of someone who has COVID-19 for at least 15 minutes
• You provided care at home to someone who is sick with COVID-19
• You had direct physical contact with the person (touched, hugged, or kissed them)
• You shared eating or drinking utensils
• They sneezed, coughed, or somehow got respiratory droplets on you *
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Please list the names of the individuals with whom you have had Close Contact on campus since you came into contact with the person who tested positive:
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Ex: Eagle Card Center, Timko Barton Hall Lobby, GC 3114, EMR 6S, and Student Cafeteria.
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Notify your Professors
Please use this form to notify your professors that you will be in quarantine and unable to attend class
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As you submit this form, the individuals for whom you have provided contact information may be contacted for more information. Do you understand and give consent for this notification to occur? *
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