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?

What are the approximate start and end times of your 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

I also attest that I have not tested positive for COVID-19 within the past 14 days, nor have I been exposed to someone in my household or otherwise who has a positive COVID-19 test result within the past 14 days.

Yes No

I understand that if I present symptoms or feel ill while present on Bellevue College Campus, I must leave the premises and notify Bellevue College Public Safety immediately by calling (425) 466-9365.

Yes No