Life School Student Self-Report Form
Life School is continuing to monitor travel advisories and recommendations from the Centers for Disease Control and Prevention (CDC) and County Health Services. The COVID-19 outbreak is a concern for anyone considering travel or traveling at this time. Those with travel plans are strongly encouraged to closely monitor travel advisories and guidance from the CDC (https://www.cdc.gov/coronavirus/2019-ncov/travelers/after-travel-precautions.html). We respectfully request all staff Life School families to please complete this form. For those that have been on cruises, please read more information from the CDC at https://wwwnc.cdc.gov/travel/page/covid-19-cruise-ship. Information collected will remain confidential, and families should expect follow-up communication from your campus administrator.

Please complete one self-report form for each student enrolled at Life School.
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Student Last Name (Student 1) *
Student First Name (Student 1) *
Last four digits of the student social security number (Student 1)
Campus (Student 1) *
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