COVID-19 Self-Screening Form
Please complete the self assessment screening before entering campus.
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First Name *
Last Name *
Phone Number *
Email *
Date of campus visit: *
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Are you showing any signs of the following symptoms? *
Required
Have you been exposed to someone with COVID-19 positive results in the past 14 days? *
If you answered NO to all of the questions you may enter your campus. If you answered YES to question you must contact your supervisor for further instructions. THANK YOU for helping keep our Era ISD staff safe!
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