COVID-19 Guest Self-Reporting Instructions

The New York State "New York Forward" Reopening Plan requires visitors to complete the Self-Reporting Survey below before coming to campus.

Each member of your group will need to fill out this form individually.  If a member of the group is under 18, the parent or legal guardian of the person listed can fill out the form.

For more information regarding visiting campus Click here

 

Enter the name of the person this form is being completed for

Have you recently returned from the states currently included on New York State's mandatory quarantine list?

Restricted States

Updated October 13, 2020
The following states and territories meet the criteria for required quarantine:

  • Alabama
  • Alaska
  • Arkansas
  • Colorado
  • Delaware
  • Florida
  • Georgia
  • Guam
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Mexico
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Virginia
  • West Virginia
  • Wisconsin
  • Wyoming

This is based upon a seven day rolling average, of positive tests in excess of 10%, or number of positive cases exceeding 10 per 100,000 residents.

Have you experienced any of the following symptoms of COVID-19 in the past 14 days?

Fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea.

Have you tested positive for COVID-19 in the past 14 days?

By clicking SUBMIT, I consent to MARIST COLLEGE documenting this health screening information pursuant to the requirements of New York State's Mandatory Guidelines. I agree that I have answered the screening questions honestly and to the best of my knowlegde.