Good Day All,
Human Resources is organizing an "In District Vaccination Day" with Rite Aid Pharmacy. If you or a family member age 18 years of age or older would like to get vaccinated, please answer the question below.

The District needs 50 participants in order for the vaccination day to take place at Abraham Clark High School.
Tentative Date: Thursday, May 13, 2021.

Thank You
Bernice Marshall-Simmons
Email *
Would you like to receive an appointment to get vaccinated? (Moderna Vaccine)
Clear selection
Please type the name of the employee and/or family member getting vaccinated with email address. A link will be sent in a few days to set an appointment time.
Never submit passwords through Google Forms.
This form was created inside of Roselle Public Schools. Report Abuse