ASA COVID-19 Screening Form
The following questions must be answered and submitted by all personnel before being permitted to enter ASA.
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Email *
Have you been vaccinated for COVID -19 *
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Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions. If you have any of the following symptoms, you should NOT enter ASA but call the school at (773) 921-1315. *
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Have you had close contact (within 6 feet for at least 15 minutes) with a person known to be infected with COVID-19 within the last 14 days? *
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Have you traveled out of state to any of the restricted states recorded by City of Chicago in the last 36 hours? *
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A copy of your responses will be emailed to the address you provided.
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