Health Screening Attestation for Mill Neck Staff
PLEASE NOTE:  You cannot be on campus without filling out this form. Mill Neck audits these responses to assure all people on campus are attesting to following all COVID guidelines for keeping themselves and others safe.
Sign in to Google to save your progress. Learn more
What is your first name? *
What is your last name? *
Building *
COVID-19 Symptoms *
Captionless Image
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mill Neck Family of Organizations. Report Abuse