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COVID-19 Self Report

To help Lake Michigan College ensure safety on campus and provide support and resources to students, faculty and staff who are sick, have been exposed to COVID-19, or tested positive for COVID-19, please complete the self-reporting form below. This information will assist the college and public health officials with monitoring the incidence of cases occurring in our community.

 

Can I come to campus after I submit a self-report?

Exposed to virus

Sick

Confirmed case

 

 

 

 

Vaccinated

Unvaccinated

Vaccinated or Unvaccinated

 

 

 

 

Can return
to campus

Do not come to campus

Exposed to virus

 

Vaccinated

 

Can return to campus

Exposed to virus

 

Unvaccinated

 

Do not come to campus

Sick

 

Do not come to campus

Confirmed case

 

Do not come to campus

Please Note: The college is committed to ensuring that your submission remains private and only will be used as a means to follow LMC safety protocols and provide support and resources.

An employee completing this form is still required to report to their supervisor as well to help ensure staffing coverage and necessary cleaning protocols.

Select any that apply.
What issue are you reporting?
I have a confirmed case of COVID-19
I have been tested for COVID-19, but I am waiting for results
I am exhibiting symptoms of COVID-19, but have not been tested yet
I have been exposed to someone with a confirmed COVID-19 case
I have been exposed to someone who is waiting for COVID-19 test results
Other
Have you been on campus OR have you physically interacted with any students, staff or faculty at any point from the time you were exposed, or two days prior to developing symptoms and/or being tested for COVID-19?
Are you currently self-isolating or quarantining?
If exposed to someone with a confirmed COVID-19 case, or someone waiting for COVID-19 test results, is that person a member of your household?
If you have had an exposure to a household member with COVID-19 or presumed to have COVID-19, are you able to socially distance from this individual?
“Close contact” means being within 6 feet from an infected individual for a cumulative total of 15 minutes or more over a 24-hour period, with or without masks, regardless of vaccination status (unless working in healthcare facility following PPE and other safety procedures).
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