MCOE Vendor Check-In Sheet
Please fill out this survey if you fall under any of the following categories. This is required for entrance into the building:
- Vendors
- Maintenance Workers
- Visiting Teachers and Staff (including MCS, Oracle and Phoenix Academy)
- Interviewees
- People meeting with Personnel
- Anyone who does not have an office in the building
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Email *
First and Last Name *
Date In Office *
This is the date that you actually worked on site.
I affirm that I have been without fever (100.4 or above) for 24 hours without the use of fever-reducing medications and that I have not had symptoms of respiratory illness (cough, shortness of breath, or runny nose) in the past 24 hours. *
I affirm that I do not live with anyone who has recently tested positive for COVID-19, nor have I had known close contact with anyone who has recently tested positive for COVID-19. *
Are you fully Vaccinated? *
Fully Vaccinated = 14 days after your 2nd shot of Pfizer/Moderna or a single shot of Johnson & Johnson
Reason for Visit *
Employee you are meeting *
Vendor/Visitor Cell Phone *
A copy of your responses will be emailed to the address you provided.
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