COVID-19 Self Assessment
The health and safety of our students and staff is of the utmost importance to us. Please complete this mandatory checklist prior to reporting to work. If you answer "yes" to ANY question, you must remain home and are not permitted to enter any VVS building. If you are working or learning remotely today, you do not need to fill out this form.
First and Last Name: *
Building(s) you will be entering: *
Have you experienced any symptoms of COVID-19, including a temperature of greater than 100.0° F in the past 14 days, (including today)? *
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Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive through a diagnostic test for COVID-19 or who has had symptoms of COVID-19? *
Have you traveled internationally or from a state with widespread community transmission of COVID-19 per the NYS Travel Advisory in the past 14 days? *
Have you tested positive through a diagnostic test for COVID-19 in the past 14 days? *
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