have been exposed to a person with a suspected or confirmed case of COVID-19 and will submit a
report to COVIDsafety@aacc.edu immediately and will notify my instructors.
• Every time I come to Campus, I am attesting that I am not currently experiencing symptoms and have
not experienced symptoms in the previous ten (10) days, have not had positive test result from a test
taken in the previous fourteen (14) days and have not been exposed to a person with a suspected or
confirmed case of COVID-19 within the previous fourteen (14) days.
• I will wear a cloth face mask at all times when on Campus, unless I have received an accommodation
through Disability Support Services.
• I will practice social distancing (i.e. remain 6 ft apart from others) to the greatest extent possible
while on Campus.
• I will comply with all applicable Executive Orders by federal, State and local governments and will stay
apprised of other directives, advisories, such as travel advisories, and guidance from federal, State,
and local public health agencies and health departments.
• I will comply with all protocols, directives, policies, procedures, guidelines or guidance provided by
AACC related to COVID-19, which may be more restrictive the government orders.
• I acknowledge and agree that if I experience symptoms, have a positive test result or have been
exposed to a person with a suspected or confirmed case of COVID-19:
1. I will notify the College immediately by emailing COVIDsafety@aacc.edu.
2. I will respond to requests for information from the appropriate local health department and
AACC regarding my circumstances related to COVID-19.
3. I will monitor my AACC-issued email account for information regarding my circumstances
related to COVID-19 and return to Campus criteria.
4. I will follow the CDC and appropriate local health department guidance for isolation or
quarantine.
5. If requested by AACC, I will provide AACC with a copy of negative test result, a letter or email
from a State or local health department or health care provider that states that I may
discontinue isolation or quarantine, a further attestation on a form provided by AACC or any
other documentation requested by AACC by submitting such documentation to
COVIDsafety@aacc.edu.
6. I will not return to Campus until the Manager, Health & Wellness Center or designee has
approved my documentation and return to Campus in writing (via letter or email).
Signature ______________________________ AACC ID # ______________________________
Name ______________________________ Date ______________________________
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