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COVID-19 Visitor Screening

Required

We request that you complete this screening on the day of your visit and before you arrive to the school.

I am arequired
Please use full company name. No abbreviations please. ​​​​​
Please use full company name. No abbreviations please. ​​​​
Ex. 905-833-1909​​​
This form must be completed on the day of the visit.​​​ (Must contain a date in M/D/YYYY format)

Vaccination Status Disclosure

Please be advised that only visitors who have been fully vaccinated will be permitted to enter the building.

Have you received two doses of a federally approved vaccine within the recommended time period?requiredEx.) AstraZeneca Vaxzevria; Janssen (Johnson & Johnson); Moderna Spikevax; Pfizer-BioNTech Comirnaty
Ex.) AstraZeneca Vaxzevria; Janssen (Johnson & Johnson); Moderna Spikevax; Pfizer-BioNTech Comirnaty
Per our visitor vaccination policy, please ensure you bring proof of vaccination on the day of your visit. You will be required to show proof of vaccination upon arrival. Thank you for your understanding.

Per our visitor vaccination policy, only fully vaccinated visitors will be permitted to enter the building. Please advise your company of Villanova's vaccination policy for visitors including third party vendors/contractors. Thank you for your understanding.

As you are aware, the best understanding of the present evidence is that COVID-19 can be transmitted by persons who do not exhibit symptoms. There is no guarantee that COVID-19 will not be contracted by persons entering the School premises.

I have read and understand the above statementrequired

Screening Questions

Are you currently experiencing any of these symptoms? Choose any/all that are new, worsening and not related to other known causes or conditions you already have. 
Fever and/or chills, cough or barking cough (croup), shortness of breath, sore throat or difficulty swallowing, extreme tiredness, muscle aches, runny or stuffy/congested nose, decrease or loss of taste or smell, vomiting and/or diarrhea​​required
Is someone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?required
In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19?required
In the last 10 days, have you received a COVID Alert exposure notification on your cell phone?required
In the last 14 days, have you travelled outside of Canada AND been advised to quarantine as per the federal quarantine requirements?required
Has a doctor, health care provider or public health unit told you that you should currently be isolating (staying at home)?required
In the last 10 days, have you tested positive on a rapid antigen test or home-based self-testing kit? required
If you selected “Yes” to any of the above screening questions, you should stay home (do not come to the school)required

Mask Requirements

A mask that properly covers your nose and mouth is required to be worn at all times while in the building.required