Testing Center Requests – Solano Community College

1. In the 14 days prior to accessing the campus have you experienced any of the following symptoms: Fevers or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headaches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting or diarrhea.

YES NO

2. In the 14 days prior to accessing the campus have you been around anyone experiencing the following symptoms: Fevers or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headaches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting or diarrhea.

YES NO

3. In the 14 days prior to accessing the campus have you tested positive for COVID 19?

YES NO

4. In the 14 days prior to accessing the campus have you been a close contact person testing positive for COVID 19? (Close contact is defined as being within 6 feet of someone for 15 minutes or longer cumulatively in a 24 hours period.)

YES NO

5. Have you completed the COVID training required for students to be on campus?

YES NO

Date Accessing Campus:

Building(s) Accessed:

Reason for access to campus:

By typing your name below, you are attesting to the fact that all information provided is truthful to the best of your knowledge.

Request to Access the Testing Center (Effective 08/23/2021)

FAIRFIELD CAMPUS

VALLEJO CENTER

VACAVILLE CENTER

TRAVIS AIR FORCE BASE