COVI-19 Health Screening Questionnaire for Facility Access
To ensure the safety of our students and staff please complete this form prior to entering our facilities.
Name
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Phone
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Email
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Date
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Time of arrival on campus
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What is the purpose of your visit to the RJC campus?
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Please refrain from entering our facilities if you are experiencing any of the following symptoms:
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Submit
COVI-19 Health Screening Questionnaire for Facility Access
COVI-19 Health Screening Questionnaire for Facility Access
To ensure the safety of our students and staff please complete this form prior to entering our facilities.
Name
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Phone
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Email
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Date
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Time of arrival on campus
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What is the purpose of your visit to the RJC campus?
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,
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Please refrain from entering our facilities if you are experiencing any of the following symptoms:
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