SATG VOLUNTEER COVID-19 Questionnaire
Please fill out this form each day when you are volunteering for Saint Albert the Great.
Thank you for completing the questionnaire.

If you select yes for any of the answers contact:
Maureen Holodnak (mholodnak@saint-albert.org)
First Name *
Last Name *
Where are you volunteering? *
Do you have any of the following symptoms? *
Required
Have you traveled to/from states reporting positive testing rates of 15 percent or higher in the last 14 days? *
Have you traveled internationally in the last 14 days? *
Have you had any close contact in the last 10 days with someone diagnosed with COVID-19? * *
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