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Campus Check In
Bellevue College no longer requires you to complete the Covid checkin form. Please visit the
COVID-19 Resource Page
for the latest updates.
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?
What are the approximate start and end times of your visit?
Start Time:
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
End Time:
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
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.
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.
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.
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
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We are an equal opportunity institution