HUMBER
Humber College COVID-19 Return to Campus Agreement
In light of the COVID-19 Pandemic, Humber is taking a cautious approach to resuming in-person
activities during the Summer and Fall of 2020. This agreement is mandatory for all staff, students and
other members of the Humber community and must be signed prior to an individuals first return to
campus (meaning all Humber facilities and properties). Failure to sign this Agreement or to respect
Humbers directions will prohibit you from visiting Humber Campuses or other facilities.
I am a member of the Humber Community who has been instructed to resume in-person activities
related to my education, training and/or employment. By signing below, I acknowledge and agree
that:
1. I will not under any circumstances attend campus if I feel unwell, exhibit any symptoms, or
answerYes’ to any of the self-assessment screening questions (see attached Self-Assessment). I
acknowledge that I am expected to self-assess prior to each visit to campus through use of the
attached questions, or a Humber-approved screening App or the Ontario COVID-19 self-
assessment tool. Additional screening protocols may be put in place by Humber at any point to
address evolving public health risks.
2. If I have currently or previously been diagnosed with COVID-19 or am under any investigation
for COVID-19 diagnosis, I shall not attend campus under any circumstances prior to being
medically cleared in accordance with Public Health practices and guidelines.
3. I will only attend campus for scheduled classes, pre-approved work activities or other authorized
activities that require in-person participation. When attending campus, I will only attend onsite
for the amount of time needed to complete the scheduled activity. I will not remain on campus
following the completion of my scheduled activity except in instances where there is only a
short break prior to my next on-campus activity. Whenever possible, I will continue to learn,
work, access services and attend meetings remotely.
4. I will follow all Humber-issued instructions regarding physical distancing, sanitization, protective
wear, restrictions to access and use of space and any other directions that may be given while
on campus. I understand this means that in common spaces, such as hallways, I will stay a
minimum of 2 meters/6 feet from others, and will wear a mask. I agree to follow any further
direction given by my faculty/instructors, Public Safety, the Humber Administration or other
responsible staff while on campus.
5. I affirm that I will promptly review all orientation and instructional materials provided by
Humber related to safety and other COVID-19-related procedures.
6. I acknowledge that Humber may make updates without notice regarding attendance on campus,
the activities and services that are available on campus, and practices to observe while on
campus for the duration of the COVID-19 Pandemic.
7. I acknowledge that safety is a shared responsibility and that if I fail to follow Humbers
instructions regarding return to campus or my responsibilities under this Agreement, I may be
asked to leave campus and/or be subject to disciplinary action.
Acknowledge and agreed _______________, 2020.
Signature:________________________________
Position/Title:_____________________________
Name: __________________________________
Humber ID#: _____________________________
**This Agreement MUST be signed by all staff and students beforereturning to campus**
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•HUMBER
COVID-19 Self-Assessment Screening Questions
Prior to attending a Humber College campus, please complete the following screening questions.
If you answer ‘Yes’ to any of the questions,please stay home and visit https://covid-19.ontario.ca/self-
assessment/ for further guidance.
1. Are you currently experiencing any of these issues? Call 911 if you are.
o Severe difficulty breathing (struggling for each breath, can only speak in single words)
o Severe chest pain (constant tightness or crushing sensation)
o Feeling confused or unsure of where you are
o Losing consciousness
2. Are you currently experiencing any of these symptoms?
o Fever (feeling hot to the touch, a temperature of 37.8 degrees Celsius/100 degrees Fahrenheit)
o Chills
o Cough thats new or worsening (continuous, more than usual)
o Barking cough, making a whistling noise when breathing (croup)
o Shortness of breath (out of breath, unable to breathe deeply)
o Sore throat
o Difficulty swallowing
o Runny nose (not related to seasonal allergies or other known causes or conditions)
o Stuffy or congested nose (not related to seasonal allergies or other known causes or conditions)
o Lost sense of taste or smell
o Pink eye (conjunctivitis)
o Headache thats unusual or long lasting
o Digestive issues (nausea/vomiting, diarrhea, stomach pain)
o Muscle aches
o Extreme tiredness that is unusual (fatigue, lack of energy)
o Falling down often
3. In the last 14 days, have you been in close physical contact with someone who tested positive for
COVID-19?
o Close physical contact means being less than 2 meters/6 feet away in the same room, workspace,
or area for 15 minutes; or
o Living in the same house
4. In the last 14 days, have you been in close physical contact with a person who either:
o Is currently sick with a new cough, fever, or difficulty breathing?
o Returned from outside Canada in the last 2 weeks?
5. Have you travelled outside of Canada in the last 14 days?If so, please follow self-quarantine
directions from government authorities and do notattend campus until complete.
If you have or believe that you may have COVID-19 and require further instructions regarding next
steps or planning to return to campus, please contact:
For Student: Student Health and Wellness jacqueline.anderson@humber.ca
For Staff: Occupational Health and Safety hiren.patel@humber.ca
**This Agreement MUST be signed by all staff and students before returning to campus**