Clio Area Schools Employee COVID-19 Screening -                                                              If you answer yes to any of the questions or have a temperature of 100.4 F (38 Celsius) or higher, please stay/return home and contact your supervisor for instructions.
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This form must be completed and submitted each morning before entering Clio Area Schools facilities/buildings.
Last Name *
First Name *
In the last 48 hours have you experienced? *
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Within the past 14 days, have you been in close physical contact (6 feet or closer for at least 15 minutes) with a person who is known to have laboratory-confirmed COVID-19 or with anyone who has any symptoms consistent with COVID-19? *
Have you traveled internationally in the last 14 days?                                                                                                                 *
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