COVID-19 Self Assessment
Please respond to the following questions to ensure the safety of all those working and visiting Midland Public Schools. Your responses will be reviewed by the MPS HR Department
Email *
Enter your full name *
Have you been diagnosed with COVID-19 in the last 14 days? *
Have you been in close contact with anyone diagnosed with COVID-19 in the last 10 days? *
Are you currently experiencing COVID-19 symptoms, including any of the following: new uncontrolled cough, shortness of breath, sore throat, loss of taste or smell, muscle aches, new onset of severe headache, diarrhea, vomiting, or abdominal pain? *
Do you have a fever of 100.4 degrees Fahrenheit or higher? *
What building(s) will you be working in or visiting? *
Required
A copy of your responses will be emailed to the address you provided.
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