Bellevue College Campus Check In

Visitor Check-in

First Name:

Last Name:

Contact Phone Number:

Contact Email:

What is the date of your campus visit?

Start Time:

End Time:

Which buildings and rooms do you plan on visiting while on campus?

Purpose of visit:

I attest that I have not experienced any of the following symptoms in the past 48 hours:

A new fever (100.4°F or higher), or a sense of having a fever;
A new cough that cannot be attribute to another health condition;
A new shortness of breath that cannot be attribute to another health condition;
A new sore throat that cannot be attribute to another health condition;
A new headache that cannot be attribute to another health condition;
A new loss of taste or smell that cannot be attribute to another health condition;
New chills or repeated shaking with chills that cannot be attribute to another health condition;
New muscle that cannot be attribute to another health condition or that may have been caused by a specific activity, such as physical exercise.

Yes No