This website uses scripting to enhance your browsing experience.
Enable JavaScript
in your browser and then reload this website.
This website uses resources that are being blocked by your network. Contact your network administrator for more information.
skip to main content
Ouachita Baptist University
Close Menu
About
Overview
Vision, Mission & Values
Virtual Tour
Maps & Directions
Office of the President
University Calendar
Ouachita News
Directory
Box Office
Media Relations
Community Connection
Invest in Ouachita
Admissions
Admissions
Visit Campus
Virtual Visit
Tuition & Financial Aid
Apply
International Students
Missionary & Third Culture Kids
Undeclared Majors
Academics
Majors & Programs
Online Degrees
Honors
Study Abroad
Career Services
Catalog
Registrar
Library
Academic Success Center
Students with Disabilities
TRiO Programs
Ouachita Baptist University
Campus Life
Activities & Clubs
Campus Ministries
Community Service
Recreational Life
Student Development
Housing
Bookstore
The Signal
Alumni
Office of Alumni
Refer a Future Tiger
Invest in Ouachita
Athletics
Current Students
Faculty & Staff
Donors
Request Information
Visit
Apply
COVID-19 Pre-Screening
Loading...
To protect the health of the Ouachita community, all campus visitors are required to complete the following prior to visiting campus. Additionally, faculty, staff and students who have traveled outside of the United States must complete the form before returning to campus.
(For groups/families, these questions apply to everyone in your party, so if any member can answer “Yes,” then you must record a “Yes” for the group.)
Visitor Information
I am a...
I am a...
Employee
Current Student-Athlete
Current Student
Guest
Who and/or for what purpose are you visiting?
First Name
Last Name
Email Address
Cell Phone Number
Screening Questions
Have you traveled outside of the Unites States in the past month?
Yes
No
Where?
Please describe the places in which you were in contact with people.
(Examples: I stayed with family in the house all day, I went shopping to the mall, I played tennis outside, etc.)
In the past 14 days, have you been in contact with a person who was infected with the novel coronavirus (COVID-19) at the time of your contact with them?
Yes
No
Please describe the nature of the contact.
(Examples: I stayed in the house with them, I saw them in the car but never was closer than 6 feet, I went to a location and later found out a person there was infected, etc.)
In the past few days, have you had the following symptoms:
felt unwell, especially with respiratory symptoms (cough, fever, shortness of breath, or difficulty breathing)? Experienced fatigue, diarrhea, sore throat, or loss of smell/taste?
Yes
No
Please describe if you have been to a physician/provider, if you’ve been tested for COVID-19 (and if positive), and any details of the symptoms.
With HIPAA regulations,
you are not required to give personal health information unless you choose to do so.
If you prefer to only answer “YES,” then you will need to go to a screening/testing location for an evaluation before coming to campus.
Signature
Date
Submit