Technology Distribution Volunteers
To ensure the safety and well-being of all volunteers, staff and students, please be sure you can answer "no" to the questions below prior to volunteering.
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Name *
Have you had close contact* with a person known to have 2019 Novel Coronavirus symptoms? *Close contact is defined as being within 6 feet of a person infected with COVID-19 for a prolonged time: close contact can occur while caring for, living with, visiting, or having direct contact with infectious secretions (blood, respiratory and sputum) *
Have you had close contact* with a person that has symptoms of and is under investigation for 2019 Novel Coronavirus symptoms? *Close contact is defined as being within 6 feet of a person infected with COVID-19 for a prolonged time: close contact can occur while caring for, living with, visiting, or having direct contact with infectious secretions (blood, respiratory and sputum) *
Have you exhibited any of the following symptoms in the last 24 hours?  Fever (temperature 100.4 or greater), cough, shortness of breath or sore throat? *
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