Updated 07/27/2020
Student Attestation Regarding COVID-19
Before returning to the college and any in-person class session(s) or activity, I hereby attest, confirm
and agree to the following:
I am currently asymptomatic without any of the following symptoms: cough, shortness of breath,
fever, chills, muscle pain, sore throat, new loss of taste or smell, nausea, vomiting or diarrhea.
I have not tested positive for COVID-19.
I have had no known potential exposure to COVID-19. I understand that the definition of potential
exposure means being an intimate partner, housemate, or caregiver of, or having unprotected
close contact (less than 6 feet apart for 15 minutes or more without PPE) with an individual with
confirmed or suspected COVID-19. The timeframe for having contact with an infected individual
includes the period of time from 48 hours before the individual became symptomatic until they
meet CDC criteria for discontinuing home isolation.
I agree and fully understand that by attending any in-person class session(s), receiving in-person
student services or attending any other college activity, I am attesting that my statements above
are still true and correct. If at any point during my attendance at a class, receiving in-person
student services or attending any college activity my condition changes so that I am no longer able
to attest and confirm the above statements are true and correct, I will immediately report this fact
to the person conducting the class or activity or providing in-person services and will leave the
class, activity, student services office and college immediately. I will not return to campus without
explicit, written consent from the College.
If at any point during my physical presence at any AACC location, I am not able to confirm the
above statements are still true, I will immediately report this change in health or exposure to the
college via COVIDsafety@aacc.edu, I will leave the AACC property immediately, notify my
instructor, and will not come to any AACC location until I have met AACC's return to campus
protocol. I agree that by being present at any AACC location, I am attesting that my conditions
have not changed.
Student Signature
By signing below, I attest, confirm and agree to the statements above.
Student ID No.
Student Signature
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