Itinerant Staff COVID Screening
Staff includes substitute staff and student teachers. Remember to stay 6 feet away from others whenever possible. Wear a face covering/shield at all times, unless you are alone in a private office or classroom. Wash hands or use hand sanitizer often. Cover coughs and sneezes with a tissue. Avoid touching your face. Clean and disinfect frequently touched objects and surfaces.
Sign in to Google to save your progress. Learn more
Email *
Name (First Last) *
Phone Number *
City *
State *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brookings-Harbor School District 17C. Report Abuse