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Pre-Campus Visit Questionnaire

As a precaution to maintain the health and safety of all students, faculty, staff, and visitors at DeSales University, the following questionnaire responses must be completed within 48 hours prior to your expected visit to campus.

Pre-visit Questionnaire for Traditional Day Admissions Events

Reason(s) for Visit
Please provide the names and contact information of those accompanying you. Parties are limited to 4 total people, including the student. Do not enter the student's information in the following blocks.
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If you or anyone accompanying you on your visit can answer YES to any of the following questions, we ask that you reschedule your visit to campus for a future date. You may NOT participate in on-campus activities at this time.

  1. Have you tested positive for an active COVID-19 infection in the past fourteen (14) days?
  2. Are you caring for or have had close contact with someone diagnosed with COVID-19?
  3. Have you had any of these symptoms in the last 14 days:
    • Fever (temperature above 100.4 F) or chills
    • Shortness of breath or difficulty breathing
    • Cough or sore throat
    • Unexplained fatigue, muscle aches, or body aches
    • Change in your sense of smell or taste
    • Congestion or runny nose
    • Nausea, vomiting, or diarrhea
  4. Have you traveled outside of your home state (immediate area) to a region with widespread COVID-19 or a state on Pennsylvania's travel advisory in the last 14 days?

If I receive a positive Covid test within 48 hours after my visit to DeSales University, I will notify Brian MacDonald at brian.macdonald@desales.edu to ensure proper contact tracing.

 

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By typing my full name in the below field, I certify that I have read and understood the entire Symptom Screening and the information I provided in this form is true and correct. I also understand and agree that if I am permitted to be on the premises, I MUST follow DeSales University campus visit procedures previously provided.