USN COVID-19 Health Screening
Parents, vendors, and visitors are welcome on campus with an appointment and may use the 19th Avenue entrance only. They are required to complete this form daily before entering USN buildings.

Students must use Magnus Mobile on school days by 7:15 a.m. Student-athletes may use the selections below for sports practices and competitions.

Faculty & staff must follow protocols on the HR Resource Board.
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First Name *
Last Name *
Email *
What is your relationship to University School of Nashville? *
If you are a student-athlete completing this form to attend practice, what is your sport? Also check the "Fitness Center" box if that is where you are working out today.
Do not come or stay at the Edgehill Campus or River Campus or participate in a school activity if your answer is “yes” to any of the following questions: *
Yes
No
Have you been in close contact with a confirmed case of COVID-19 within the past 14 days?
Are you experiencing a new cough or difficulty breathing?
Are you experiencing a change in your baseline for ONE or more of the following symptoms: congestion, runny nose, sore throat, headache, fatigue, or muscle aches?
Have you had a fever (a temperature of 100.4 degrees Fahrenheit or higher) within the last 48 hours?
Within the last 24 hours, have you had a new loss of taste or smell?
Have you had vomiting, nausea, or diarrhea in the last 24 hours?
Electronic Signature *
As indicated by my initials/signature below, I certify that I have read, understand, and agree with all of the information provided in this questionnaire and my responses to all questions are true and accurate. Further, I understand that any false or misleading responses could result in disciplinary action and/or immediate removal from campus.
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