COVID-19 Request to Return to Campus

Student requesting return to campus:
Returning to campus/class on TCC premises after isolation for a positive COVID-19 test or 14-day quarantine for exposure must follow CDC guidelines. Students are required to complete and submit the form below for approval prior to returning to any TCC campus. You will be contacted once approved to return to campus. Please allow 24 hours for processing.
Name * Required
First Last
Phone * Required
SIS # * Required
Email * Required
Questions:
When did you test positive for COVID-19? - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Did you test positive for COVID-19? * Required
- Yes
- No
Have you been tested again to make sure you are no longer positive? * Required
- Yes
- No
When were you retested? - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
What were the results?
When do you plan to get retested? - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
If you have not been retested, have you self-isolated for at least 10 days since your last positive COVID-19 test?
- Yes
- No
Are you taking a face-to-face or hybrid course? * Required
- Yes
- No
Please complete the following for each face-to-face class:
Instructor Class Name Section Number

Instructor	Class Name	Section Number

Student requesting return to campus: