Request edit access
ZR CUSD #188 Faculty & Staff Self-Certification Form
Due to the ongoing coronavirus (COVID-19) pandemic and the acknowledgement of community spread by the Centers for Disease Control and Prevention (CDC), Zeigler-Royalton CUSD 188 requires that all employees complete a self-certification check prior to entering the building for the day. The questions below need to be answered PRIOR to entering the work building. If you are able to answer "Yes" to any of the questions below you are not permitted enter the building and need to contact the building administrator immediately upon completing the form.
Email *
Clear selection
Untitled Title
Never submit passwords through Google Forms.
This form was created inside of Zeigler-Royalton CUSD#188. Report Abuse