COVID Employee Reporting
* Required
Email address
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Job (i.e. bus driver, teacher, CNP, maintenance, etc.)
*
Your answer
School
*
ELES
ELHS
ELMS
HTES
HTHS
HZES
JJLC
LCCTC
LCDC
LCHS
MES
MMS
MTHS
RAH
SES
Indian Mounds
Bus Shop
Maintenance
Technology Office
BOE
Gifted/Virtual
Family Ed
Required
Birthday
*
MM
/
DD
/
YYYY
Address
*
Your answer
Phone Number
*
Your answer
Select One that Applies
*
I was in Close Contact to a person who tested Positive for COVID or lost their taste/smell
I am Symptomatic/plan to get tested/already tested
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