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OESIS & Centogene Partnership Application for School COVID Testing

Application

On June 16th, 2020 Centogene (Nasdaq: CNTG) and the OESIS Network announced a partnership during the pandemic to offer a screening test using RT-PCR for the detection of SARS-CoV-2 to all schools, public and private in the U.S to aid with the return to campus during the pandemic. The tests will be conducted at Centogene proprietary facilities conforming to required certifications for high throughput RT-PCR testing: Centogene labs are accredited by College of American Pathologists and certified under CLIA (Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C. §263a), to perform highly complex testing. The FDA registered swab used will be applied to the upper respiratory tract to obtain an oral pharyngeal sample. The Centogene SARS-CoV-2 RT-PCR test is intended for use under the Food and Drug Administration’s Emergency Use Authorization.

Please watch this YouTube video before completing this application. Please read this FAQ document. This application is for schools interested in the program and if it is complete you will receive a pdf copy by email. It is not yet a commitment by either party and has no payment required at this time until approved. This application should be completed by a Head of School, principal, school chief financial or business officer with authority to make this application. 

This form will be a part of the contract and be integrated by reference if your application is approved, and after being invoiced, you make payment.

You need to be a Head of School, Chief Financial or Business Officer or District Leader/Superintendent to complete this registration form.  *This question is required.
This question requires a valid email address.
This question requires a valid email address.
1. When is your school currently scheduled to start in the Fall? *This question is required.
4. What kind of school do you represent? *This question is required.
5. Sample Collection. Centogene will ship oral swabs to the school and these swabs are classified and registered as an FDA Class I exempt medical device ( Class 1 broadly means the safety profile equivalent to a bandage). The swab is for the taking of an oral pharyngeal sample from the back of the throat. Each sample container will be pseudo-anonymized (no personal patient information will be on it) when it is sent to Centogene. The collection is straightforward and we will provide information and videos of how to do that. You will be responsible for the following:

1. Data & Privacy. Keeping a private inventory of the names of the students and faculty that correlate to the bar code numbers so that you can then de-pseudo anonymize the results and then determine who might have tested positive.

2. Collection. We recommend and require that the school oversee the collection of swabs at school (not at home) as in a carpool line supervised and collected by a nurse or EMT or qualified athletic trainer within approximately a 6 hour period to ensure conformity. We will provide digital training materials. 

Please confirm below: *This question is required.
6. Transport and Logistics. Centogene has been handling sample collection logistics for 3 years in the U.S. and will coordinate all the logistics including the pick up of the samples and delivery to their labs. After an individual is swabbed, the swab needs to be maintained at a temperature between 36 and 46 degrees Fahrenheit.  The school's process should include placing the samples in a cooler or refrigerator until pick up.  Upon pickup, our couriers will keep samples on cool packs for the entire transit to the lab. We will provide a confirmed date within a week that you choose as well as a specific time for collection for ALL of the samples. The samples will be sent either to Centogene's US labs or German labs depending on capacity, equally accredited for such testing. Logistics are expensive and the price per sample is estimated at $10 per test but will be confirmed at the time of receiving a confirmed order date.

Please confirm your response below: *This question is required.
7. The Price of Tests. The price of the test is $88 and that includes the test swab, the testing analysis and data transfer. Please confirm your response below. *This question is required.
8. Privacy & Disclosures. OESIS and Centogene will have no information regarding who has been tested because you will only be providing numerical identifiers. You will need to determine your responsibilities. Please confirm your response below: *This question is required.
9. Reliance for Opening School. Please confirm the following understandings by responding below *This question is required.
10. Deposit. To participate we require a NON-REFUNDABLE program participation deposit of $5,000 per school payable immediately on approval and creditable towards confirmed orders you place before June 30th, 2021 that fit within our reserved capacity. We will invoice you immediately, when and if your application is approved and 50% of that deposit will be sent to Centogene to be part of the capacity that is reserved for this partnership. You will still need to pick a week, confirm the order size, and agree to terms of participation. The date of the receipt of your deposit by OESIS will give you priority over other schools registering later in having your order approved for the date range you require. For OESIS member schools, the remaining $2,500 deposit not sent to Centogene (50%) can be applied before June 30th, 2021, to OESIS Pathways or conference registrations if you do not use it for testing orders (but only if you are a member school for 2020-2021). Please confirm the following: *This question is required.
11. Please sign this box if you are authorized to make commitments for your school covering financial and legal issues. Your understand and agree that your acknowledgements above constitute a part of our POTENTIAL contract relationship for your school or district if your application is approved. *This question is required.
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