2021-2022 PCSD Health Check Form
Prior to entering any building in the Poughkeepsie City School District, you must complete the following health check form.  If you answered yes to any of these questions, you can not enter the building.

Antes de ingresar a cualquier edificio en el Distrito Escolar de Poughkeepsie City, debe completar el siguiente formulario de verificación de salud. Si respondió que sí a cualquiera de estas preguntas, no puede entrar en el edificio.

Sign in to Google to save your progress. Learn more
Name *
PCSD building you are entering *
Role *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Poughkeepsie City School District.

Does this form look suspicious? Report