Tuscumbia City Schools
Educational Plan for 2020-2021
❖ Introduction
Tuscumbia City Schools main goal is to insure the health and safety of all persons who are
associated with TCS. Based on recommendation from the Alabama State Department of
Education, Alabama Department of Public Health, and the Centers for Disease Control, TCS has
developed an educational plan to continue providing a sound and quality education to our
students while providing the necessary resources for our staff to work safely. This plan is
designed to mitigate issues that relate to pandemics and emergency school closures and will
attempt to ensure that students and teachers will be able to continue the educational process
throughout school closures. The most current COVID-19 pandemic has allowed Tuscumbia City
Schools to understand that a viable plan is needed and has allowed the district to review the
positives and negatives associated with the school closure. Understanding that some instances of
school closure may not be as readily known as the COVID-19 closure, the system understands
the need to have a plan in case of weather, flu, or other emergency disasters. In order to continue
the education of our students and still maintain a safe and sanitized school environment, the
development of this plan will identify every main portion of our academic environment.
Tuscumbia City Schools System will create an individual plan based on their own dynamic
needs and academic environment. Each plan will account for the topics listed in the table of
contents and following pages. Academic integrity and safety will drive each decision and plan.
*Disclaimer: The information provided in this document does not, and is not intended to, constitute legal advice.
Instead, all information, content, and materials available in this document are for general informational purposes
only. Information in this document may not constitute the most up-to-date legal or other information. This
document contains links to other third-party websites. Such links are only for the convenience of the reader or user.
No reader or user of this document should act or refrain from acting based on information in this document without
first seeking legal advice from counsel in the relevant jurisdiction. Use of and access to this document or any of the
links or resources contained within the document, do not create an attorney-client relationship between the reader
and document authors, contributors, contributing law firms, or committee members and their respective employers.
All liability with respect to action taken or not taken based on the document are hereby expressly disclaimed. The
content in this document is provided “as is.” No representations are made that the content is error-free. This
guidance is not mandated, or state required. Local school districts have the authority and flexibility to meet their
individual needs and be responsive to their communities.

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 Table of Contents
Guiding Principles 3
Alabama State Department of Education Recommendations
3
Alabama Department of Public Health Color Code System 3
General Guidelines 4
Home Screening 4
Transportation
4
School……………...………………………………………………………………..
……………………………..………… 4
Face Masks/Shields ………………………………….....…………………………….
………………………………… 4
Physical Distancing
………………………………………………………………………………………..……………. 5
Sanitization and Personal Hygiene ……………………………………………………….
………………….……. 5
Wellness
……………………………………………………………………………………………………………….
.……….. 6
Instruction and Technology …………………………………………………………………….
………………..……… 7
Special Education, Health Needs, and Other Modifications
………………………………………….…. 7
Methods of Instruction …………………………………….
…………………………………………..….…………... 7
One to one technology ………………………………………..
……………………………………..…………………. 8
Digital Learning Platform
……………………………………………………………………………………………… 8
Operations and Wellness
…………………………………………………………………………………………………..9
Wellness, Operations, and Facilities …………………………………………….
……………………………….….. 9
FAQs
………………………………………………………………………………………………………………
……………..11
Explanations of Learning Options
…………………………………………………………………………………… 14
Appendix 1
……………………………………………………………………………………………………………..
……… 17
Appendix 2 …………………………………………………………………………..
……………………………………….. 18

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 ❖ Guiding Principles
⮚ Tuscumbia City Schools will be transparent and will share what we know, do not know,
and be clear about what we can control along with what is outside of our control.
⮚ Tuscumbia City Schools will be equitable and will center decisions on what is best for all
students, families, and educators.
⮚ Tuscumbia City Schools will listen and bring together diverse stakeholders and experts to
understand realities on the ground and to surface creative solutions.
⮚ Tuscumbia City Schools will put safety first and will leverage science, data from the
Alabama Public Health Department and Colbert County Health Department along with
other health leadership to inform the choices we make.
⮚ Tuscumbia City Schools will be decisive. Due to the enormous responsibility that is
entrusted to the school system, all decisions will be made deliberately and although we
may have to make tough choices, if we need to adapt, we will do so quickly and
decisively.
❖ Alabama State Department of Education Recommendations
⮚ Each item of the Tuscumbia City Schools plan for continued education will be identified
with the following recommendations from the Alabama State Department of Education.
⮚ Essential: Required by law, policy, governmental order, or a critical practice.
⮚ Guidance: Best practices gleaned from research and long-term experience and highly
recommended for implementation where feasible.
⮚ Consideration: Additional best practices informed by emerging research, recent studies,
and practical experience.
❖ Color Coding System

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 ⮚ Tuscumbia City Schools will operate on a county designated color code as provided by
the Alabama Department of Public Health.
Green: Low Risk
Yellow: Moderate Risk
Orange: High Risk
Red: Very High Risk

▪ Actions taken by Tuscumbia City Schools will be determined by the color code
system by ADPH.
▪ At no time will the color code system require a complete closing of the school. The
only time the school will close will be at the discretion of the local superintendent and
the governor of Alabama.

❖ General Guidelines
⮚ Home Screening (Essential): All parents will be asked to screen their own children
daily as to the symptoms of COVID-19. Daily screenings should consist of the
following:
♦ Monitoring of temperatures (100.4 or higher)
♦ Monitoring of the following daily
⮚ Fever or chills
⮚ New loss of taste or
⮚ Cough
smell
⮚ Sore throat
⮚ Shortness of breath or
⮚ Congestion or runny
difficulty breathing
⮚ Fatigue
nose
⮚ Nausea or vomiting
⮚ Muscle or body aches
⮚ Diarrhea
⮚ Headache
⮚ Transportation (Essential): Although Tuscumbia City Schools does not provide daily
transportation; all buses will be cleaned and sanitized after each use. Parents should also
be cognizant of all persons in which the student may ride in a vehicle with to school,
practices, and/or functions.
⮚ School (Essential): School system staff will be trained to identify the above symptoms
and will visually check for symptoms throughout the school day. This may or may not
include temperature checks.
⮚ Facial Coverings (Guidance): One major method of controlling the spread of COVID19 is through the use of masks. Masks will not be required by all students and staff but if
the student and/or parent chooses to wear a mask, they will be allowed but they must
follow the Tuscumbia City Schools Code of Conduct (face masks may not have any
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 derogatory language or symbols that may create a distraction or disturbance in the
learning environment).
▪ Teachers in the elementary grades will wear face masks or shields during any type of
close instruction. This will allow students to view the teacher in order to work
through phonics instruction.
▪ All teachers shall wear face coverings that cover the mouth and nostrils to the greatest
extent practicable during the regular interaction of students or others from a different
household while in close proximity. Close proximity is defined as within 6 feet.
▪ At this time facial coverings are not mandatory, however students and teachers may
elect to wear facial coverings at their own cost.
▪ In the event that an executive order by the Governor of Alabama or municipal order
requiring masks is issued, all students and staff will be required to wear face masks.
▪ At this time, all visitors to Tuscumbia City Schools must wear masks when entering
any TCS school building.

⮚ Physical Distancing (Essential): Maintaining a physical distance is crucial to the
avoidance of infection from one person to another.
■ The Center for Disease Control has recommended a physical distance of six (6) feet
for no more than fifteen (15) minutes (6-15 rule).
■ While best efforts will be made to maintain the 6-15 rule, it may not always be
practical in the school environment.
■ To mitigate the spread of contagions all desks will need to be faced in the same
direction if at all possible, with as much space between desks as possible.
■ Centers and collaborative learning may be limited.
➢ Sanitization and Personal Hygiene (Essential): Handwashing and refraining from
touching your face is a critical requirement to stop the spread of infectious germs.
■ Hand sanitizers will be provided at each school’s main entrance and students/staff are
required to sanitize upon entry and exit of the building.
■ Proper hand washing, sneeze, and cough etiquette should be taught and practiced
daily.

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 Wellness
➢ Tuscumbia City Schools Principals, Counselors, Special Services Coordinator, and
Nurses will review all current Individual Healthcare Plans, Individualized Education
Plans, and/or 504 Plans to begin to draft accommodations for students with special and
healthcare needs in order to decrease these particular students risk for contracting
COVID-19.
■ Students who have current IHPs with the need to take medicine at school will need to
contact the school nurse prior to campus arrival in order to deliver medicines.
● GWT- 256-389-2940
● RET - 256-389-2930
● DMS - 256-389-2920
● DHS – 256-389-2910
● TCS – 256-389-2900
■ All parents who need to deliver medicine prior to the start of school (August 20,
2020) need to make an appointment with their local school nurse to deliver their
child’s medicine prior to the start of the 2020-2021 school year.
➢ Tuscumbia City Schools will create a process and develop procedures for students and
staff that self-identify as high risk for severe illness related to COVID-19. Using this
process and procedures, the system will develop a plan to address these particular
requests for alternative learning arrangements or work re-assignments. Tuscumbia City
Schools will make every reasonable effort to honor these requests but reserves the right to
deny requests if not feasible.
● See Appendix 1
➢ Tuscumbia City Schools will communicate to students, staff, and parents in the same
manner in which all information has been disseminated in the past.
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 ➢ Education and communication of the home health screening to monitor the six CDC
symptoms of COVID-19. Appendix 2
■ Monitoring of temperatures (100.4 or higher)
■ Monitoring of the following daily
● Fever or chills
● Headache
● Cough
● New loss of taste or smell
● Shortness of breath or
● Sore throat
difficulty breathing
● Congestion or runny nose
● Fatigue
● Nausea or vomiting
● Muscle or body aches
● Diarrhea
■ Students who exhibit any of the above symptoms will be required to wear a mask
until symptoms are no longer present.
➢ Update and finalize student and staff health records according to HIPPA regulations and
requirements.
➢ Tuscumbia City Schools will provide adequate and appropriate supplies to teachers and
staff to support healthy hygiene behaviors.

Instruction and Technology
➢ Special Education, Health Needs, and Other Modifications
○ All students who have IEPs, IHPs, and 504s must have those documents revised
by the student’s case manager and all pertinent personnel and parents must
complete a formal meeting.
○ Case managers will use video conferencing when available to service students
with current IEPs who identify as Virtual students.
○ All IEPs must be disseminated to the appropriate General Education teachers.
○ All students must take the Edmentum Diagnostic or STAR Renaissance test by
August 28, 2020 to identify gaps and deficiencies in the individual student’s
learning.
■ Students who choose Virtual Education must schedule a time at their local
school to take the diagnostics.
■ Edmentum will then create a Learning Path for the individual student in
order to remediate and accelerate the student.
■ All families of students in grades 1-3 who identify with a reading
deficiency will be notified within 15 days of the student being identified.
Intervention programs used to address student needs.
● Edmentum
● STAR Renaissance

● Accelerated Reader
● RTI

○ Methods of Instruction
■ Tuscumbia City Schools will create videos and other virtual meetings in
order to educate students and parents in regards to the best educational
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 ■

■

■

■

format for their students. This will include information in regards to the
Methods of Instruction that will be offered to all students.
Traditional Learning: Traditional learning will encompass what we all
understand school to resemble. Although with the current environment,
“traditional” is a modified version in order to address current needs and
guidelines.
Blended Learning: Blended learning will only be used to continue the
process of education for all students in the event that the student becomes
incapable of returning to the classroom or the school building itself has
been deemed unsafe. This is not to be confused with Virtual Learning. In
the event that traditional students are moved to Blended Learning, the
student will receive all work from the teacher of record from their current
schedule.
Virtual Learning: Virtual Learning will require students to take all
classes in a remote setting. The students will receive all work via a remote
learning platform as identified by the Virtual Learning teacher. Students
must attend Virtual Learning semester by semester. They will not be
allowed to change options during the middle of a semester. Students will
be required to take all tests in the Tuscumbia City Schools Testing Center.
In the event that schools are mandated to 50% capacity, students will
attend school based upon predetermined status that will be disseminated to
all parents and students.

➢ One to one technology initiative.
○ Students in grades 1-5 will be assigned a computer that they will have access to
daily and kept in the classroom. These students will be able to take these
computers home in the event that the student, classroom, or school has been put in
quarantine.
○ Students in grades 6-12 will be assigned a computer that they will be able to take
home with them and must be brought back to school fully charged daily.
○ All parents/stakeholders must have a signed Device Usage Agreement on file
before TCS devices are allowed off campus.
○ All students in grades 6-12 will be assessed a technology fee per year based on
their lunch status.
■ Paid: $50.00
■ Reduced: $30.00
■ Free: $20.00
○ All students in grades 1-5 will be assessed a technology fee of $10.00 per year.
○ Technology fees will be used for insurance and replacement purposes.
➢ Classroom Digital Learning Platform
○ All teachers will be required to create a digital learning platform for student and
class assignments on Google Classroom. Google Classroom must be updated
weekly and allow the parents to view student assignments.

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 Operations & Facilities
➢ All Tuscumbia City School’s buildings, facilities, and buses will be cleaned using the
cleaning guidelines issued by OSHA and the CDC.
➢ Guidance will be issued to all custodians and staff as to the cleaning of school specific
items.
➢ Trained personnel will perform all regular maintenance and cleaning as normal.
➢ New signage will be posted throughout all school buildings.
➢ All custodial staff will be trained in any type of new cleaning methods that will need to
be implemented.
➢ All cleaning inventory will be evaluated weekly in order to ensure that cleaning supplies
are readily available.
➢ All classrooms will be fogged daily along with other areas in which students and staff
will utilize.
➢ Encourage the use of personal water bottles for students instead of students using the
drinking fountain.

Wellness, Operations, and Facilities
➢ Students who become ill during the school day will be placed in a quarantined area until
the parent/guardian is able to pick up the child.
➢ Students who have been sent home due to sickness shall not come to school until they are
completely symptom free.
➢ Encourage and educate parents as to the recognition of the signs and symptoms of
COVID-19.
➢ The Tuscumbia City Schools Attendance Policy will be amended to address students with
a COVID-19 diagnosis, possible diagnosis, or quarantine.
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 ➢ Educate lower elementary students as to the proper cough and sneeze protocol.
➢ Students will enter each school building in designated areas.
➢ All areas in which students or staff come in contact with items that can be shared must be
sanitized between each use.
➢ Staggered start times and dates for Kindergarten students.
➢ Staggered start times for all schools.
➢ Each Tuscumbia City School will develop and disseminate a specific plan to address the
following:
○ Entrance into the building
○ Exits from the building
○ Plans for students eating in the cafeteria
○ Student use of common areas such as restrooms, computer labs, hallways, etc.
○ Elementary Library, Music, and recess time
○ Movement of students in the hallways
○ Staggered start times for grades
○ Dismissal procedures
○ Lockers and cubbie areas (Grades 6-12 will not use lockers until further notice)
○ Virtual resources for all students
○ Small group activities in the classroom
➢ School Closure Procedures
○ Classroom: Positive case identified in a classroom
■ Room will be cleaned and sanitized.
■ No entry for 48 hours.
■ Contract tracing procedures initiated.
■ Parents notified.
○ School: Increases in positive cases, system decision, or state mandate
■ All face to face students transferred to blended learning.
■ Entire school will be cleaned and sanitized.
■ No entry for 72 hours.
■ Contact tracing procedures initiated.
■ Parents notified as to duration of school closing if timeframe is known.

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 ❖ FAQs
1. What are the types of instruction that Tuscumbia City Schools will offer during the 20202021 school year?
a. Traditional learning will encompass what we all understand school to resemble.
Although with the current environment, “traditional” is a modified version in
order to address current needs and guidelines.
b. Blended Learning: Blended learning will only be used to continue the process of
education for all students in the event that the student becomes incapable of
returning to the classroom or the school building itself has been deemed unsafe.
This is not to be confused with Virtual Learning. In the event that traditional
students are moved to Blended Learning, the student will receive all work from
the teacher of record from their current schedule.
c. Virtual Learning: Virtual Learning will require students to take all classes in a
remote setting. The students will receive all work via a remote learning platform
as identified by the Virtual Learning teacher. Students will not be allowed to
change options during the middle of a semester. Students will be required to take
all tests in the Tuscumbia City Schools Testing Center.
2. Will students have their temperature checked daily?
a. Students will not have their temperature checked daily to enter the building but
the school system will have the ability to check the temperature of a child in the
event that the child begins exhibiting signs and symptoms of COVID-19 or
Colbert County has been deemed a High Risk County by the ADPH. Due to the
guidelines of the Alabama High School Athletic Association (AHSAA), all
athletes will have their temperature checked until further guidance has been
disseminated.
3. Will my student have to wear a mask?

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 a. Tuscumbia City Schools may require students to wear masks under certain
conditions such as:
● Temperature higher than
● Headache
100.4
● New loss of taste or smell
● Fever or chills
● Sore throat
● Cough
● Congestion or runny nose
● Shortness of breath or
● Nausea or vomiting
difficulty breathing
● Diarrhea
● Fatigue
● At the discretion of the
● Muscle or body aches
principal
b. Tuscumbia City Schools may routinely require staff to wear masks in the
performance of their duties. It is strongly recommended by the Center for Disease
Control (CDC) that all persons who are engaged in close contact activities, i.e.
group activities, collaborative lessons, for all persons to wear a mask.

4. Will the cafeteria still serve breakfast and lunch daily?
a. Tuscumbia City Schools Child Nutrition Program will continue to serve both
breakfast and lunch. There will be changes as to how students are served, where
children may eat, and how many children will be in the cafeteria at the same time.
All CNP workers will wear facemasks and/or face shields during the serving and
preparation of the food. TCS is and will continue to seek guidance as to how best
to serve students. This information will become more concrete as we get closer to
the start of school and will be subject to changes as appropriate.
5. Will there be any field trips this year?
a. At this time, Tuscumbia City Schools will not permit any field trips other than
those that are necessary or trips to other schools within the Tuscumbia City
Schools District.
6. What will be the cleaning and/or sanitization protocols during the 2020-2021 school
year?
a. All buildings will be cleaned and sanitized daily. This will include the use of
foggers to sanitize each classroom along with other cleaning measures
recommended by the ADPH.
b. All buses used to transport students are to be cleaned, sanitized, and fogged after
each use.
7. Will Tuscumbia City Schools limit visitors to the campuses and other large public
gatherings, arrival/dismissal during the 2020-2021 school year?
a. All visitors to TCS school buildings, including the Central Office will be required
to wear a mask upon entry.
b. At this time, per the ADPH, Tuscumbia City Schools will limit non-school
personnel from all school buildings. It will be imperative for all
parents/guardians to phone or email any concerns or questions that they may have
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 to their child’s teacher and/or school. Exceptions to non-staff visits is for
parents/guardians to deliver medicines to school nurses.
c. Currently, large functions such as Open House, Parent Nights, and other
assemblies where social distancing is not feasible will not be offered. For all
functions such as sporting events, Tuscumbia City Schools will use guidance from
the AHSAA and municipal guidance to ensure that we are not facilitating the
spread of COVID-19.
d. Schools will limit the entry points for students entering the schools. Dismissal
may be staggered based on traffic flow or grade level.
8. What about library time or other special electives during school?
a. All students will be afforded the opportunity to participate in special electives at
the elementary school level with accommodations. Students will still be able to
use the library to checkout books and have lessons if social distancing can be
achieved. If the activity cannot be accomplished following the social distancing
guidelines, then that activity will be postponed until further notice.
b. Physical education will still be an offering throughout the day but will be
modified to limit the activities that are known to spread COVID-19. Efforts will
be made to limit the amount of students that are on the playground or in the gym
at a particular time.
9. How will students with special needs, health issues and/or disabilities be educated?
a. All students with current Individualized Education Plans (IEP), Individual
Healthcare Plans (IHP), and/or 504 Plans will be given the same opportunities as
all students. All efforts will be made to ensure that individualized
accommodations, modifications, services, and supports are available to provide a
Free and Appropriate Public Education (FAPE)
10. Will Tuscumbia City Schools still offer After School programs?
a. Yes, all after school programs that have been offered in the past will still be
offered. The only change is that in the elementary level, the students may not be
consolidated. This means that GWT and RET may offer their own after school
program with tutoring and other services.
b. At this time all sports, music, and clubs will still be available for students to
participate in as long as these programs follow the guidelines of the AHSAA or
other guidelines associated with COVID-19.

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 Explanation of Learning Options
Traditional: Face to Face Instruction

➢ Traditional learning will encompass what we all understand school to resemble.
Although with the current environment, “traditional” has been modified to address
current needs and guidelines.
➢ All materials, assignments, and content will meet the ALSDE Course of Study for the
particular course.
➢ All assignments that are assigned will be graded and entered into the digital gradebook
(INow) in order to determine an average grade for the course.
➢ Teachers in the elementary grades may wear face masks or shields during any type of
close instruction. This will allow students to view the teacher in order to work through
phonics instruction.
➢ Students and teachers will have the option of wearing face masks that do not have any
image, logo, or wording that would violate the Tuscumbia City Schools Code of Conduct.
➢ Student work may be online but the teacher will still deliver direct instruction.
➢ Students will be required to attend all classes daily and follow the Tuscumbia City
Schools Attendance Policy.
➢ Students will still be afforded the opportunity to partake of the Child Nutrition Program
breakfast and lunch options.
➢ Student transitions between classes in grades 6-12 will be staggered. Students will also
use one way of movement as to the greatest extent practicable. Students in grade K-5
will have limited transitions or out of class time.
➢ All students will have the opportunity to participate in elective courses to the greatest
extent possible. There will be limitations on certain courses such as Physical Education,
music, and choir. The teacher will modify the classroom environment to accommodate
social distancing and other guidelines associated with COVID-19.
➢ At this time, there is the possibility of having staggered start and end times for each

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 school but this has not yet been determined.
➢ There is not a limit as to how many students may be in a classroom at a time but
Tuscumbia City Schools will do everything possible to ensure that students are placed in
limited capacity classrooms.

Blended: Student quarantine, sickness, and/or school closure

➢ Blended learning will only be used to continue the process of education for all students in
the event that:
○ Either the Governor of the State of Alabama or any other entity with the power to
close schools enacts that authority.
○ The student becomes incapable of returning to the classroom due to sickness or
quarantine
○ The school building itself has been deemed unsafe.
➢ In the event that traditional students are moved to Blended Learning, the student will
receive all work from the teacher of record from their current schedule.
○ This is not to be confused with Virtual Learning due to Blended Learning is only a
short time learning plan.
➢ If there is a need for a student to continue their education in a Blended Learning
environment, all work will meet the ALSDE Course of Study Standards for that particular
course.
➢ All work that is assigned to students must be turned in by the due date that is established
by the teacher of record.
➢ All assignments that are assigned will be graded and entered into the digital gradebook
(INow) in order to determine an average grade for the course.
➢ All materials, assignments, and content will meet the ALSDE Course of Study for the
particular course.

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 Virtual Learning: Remote Learning Option

➢ Virtual Learning will require students to take all classes in a remote setting.
○ There may be elective courses that Deshler High School may not be able to offer
in a virtual platform.
○ All courses that are required for graduation will be offered.
➢ Students will receive all work via a remote learning platform as identified by the Virtual
Learning teacher.
○ This could be Edmentum and/or Google Classroom.
○ Students must have access to the internet in order to attend courses virtually. If
the student needs a device, they will need to contact their local school. If the
student needs internet access, Tuscumbia City Schools is working to install
outdoor WiFi capabilities. Currently, other resources such as internet and WiFi
are available through other parties than Tuscumbia City Schools.
○ Virtual Learning teachers will designate office hours and post.
○ Certain elective courses may not be offered by TCS personnel.
➢ All materials, assignments, and content will meet the ALSDE Course of Study for the
particular course.
➢ All work assigned to students must be turned in by the due date that is established by the
teacher of record.
➢ All assignments will be graded and entered into the digital gradebook (INow) in order to
determine an average grade for the course.
➢ Students will be required to take all tests in the Tuscumbia City Schools Testing Center.
➢ Students may only change from Virtual Learning to Traditional Learning or vice versa at
either the end or beginning of a new semester.

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 ➢ Students will be required to follow the guidelines as posted in the Tuscumbia City
Schools Virtual Learning Option.
➢ Students will be required to log in daily and complete daily assignments for attendance
purposes.
➢ Students failing to maintain adequate educational progress may be removed from the
Virtual Learning option after consultation between the school principal and counselor.
○ The teacher determines adequate progress. Students must complete all
assignments by the due date and may not be more than two assignments behind
before a conference is scheduled between the teacher, counselor, student, and
parent/s.
➢ All students attending the Tuscumbia City Schools Virtual Learning Option will be
required to attend an intake meeting to develop an Individualized Learning Plan.
➢ Students may have the opportunity to view videos or other methods of instruction as
determined by the Virtual teacher. All videos will be archived for at least nine weeks in
order for students to review.
➢ It is imperative that students who choose to participate in the Virtual Learning Platform
are driven and motivated to work daily in a more unstructured environment. Students
must also take ownership of their education and contact their teacher if they are
struggling in the classroom.
➢ Students who are in the Virtual Learning Program will also take all Alabama State
Department of Education mandated tests. These tests will be scheduled with the student
and will require the student to take the test in the school in which they are enrolled or at a
National Testing Site at the student’s expense.
Tuscumbia City Schools
High Risk Survey
Last Name: _______________________
First Name: _______________________
Please check one: Student: ____
Teacher: ____
Staff: ____
School: ______________________________
Date: ___________________
Physician: ________________________
Phone Number: ________________________
Please provide a current list of your prescribed medications:
__________________________________________________________________________________________
__________________________________________________________________________________________
Children who are medically complex, who have neurologic, genetic, metabolic conditions, or who have congenital heart disease are at
higher risk for severe illness from COVID-19 than other children (Center for Disease Control)
Have you or any of your immediate family been diagnosed with or at high risk of any of the following conditions? *Immediate family
is defined by only those that reside in the same home.
____ Age 65 or older
immune deficiencies, HIV, Use of corticosteroids,
____ Asthma (Moderate or severe)
or use of other immune weakening medicines.
____ Cerebrovascular Disease
_______ Neurological conditions such as dementia
____ Chronic Kidney Disease
_______ Liver disease
____ COPD
_______ Obesity
____ Cystic Fibrosis
_______ Pregnant at this time
____ Hypertension or high blood pressure
_______ Pulmonary Fibrosis
____ Immunocompromised State (Weakened Immune System) _______ Serious Heart Condition
from blood or bone marrow transplant,
_______ Sickle Cell Disease

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 _______ Smoking
_______ Thalassemia

_______ Type 1 or Type 2 Diabetes

Please provide at least two:
Emergency Contact: ______________________
Phone Number:
______________________
Relationship:
______________________

Emergency Contact: ________________________
Phone Number:
________________________
Relationship:
________________________

Emergency Contact: ______________________
Phone Number:
______________________
Relationship:
______________________

Emergency Contact: ________________________
Phone Number:
________________________
Relationship:
________________________

____ I would like to discuss alternative educational/work options with my local school or immediate supervisor.
*All medical conditions are those that have been identified by the Center for Disease Control.
Office Use Only
Received by

Date Received

Contact

Appendix 1

Monitoring of COVID-19 Symptoms
at Home
One of the most effective ways to stop the spread of COVID-19 is to know and understand the
symptoms. While there are many symptoms of COVID-19, there is no specific method to
diagnose COVID-19 without a test that is performed by a licensed physician or practitioner and
tested at a reputable lab facility. The following symptoms together will not diagnose a person
with COVID-19 but may be an indicator.

❖
❖
❖
❖
❖
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Temperatures (100.4 or higher)
Fever or chills
New onset of coughing
Shortness of breath or difficulty breathing
Fatigue

 ❖
❖
❖
❖
❖
❖
❖

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Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea

 Appendix 2