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Reference Names and TB Form Questions
If you want reference forms sent by email so that your recommender can complete the form online or are in need of a TB risk assessment, please answer the following questions.
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
School
*
Your answer
For students needing references, fill out the below
Name of First Reference
Your answer
Email of First Reference
Your answer
Have you asked this reference permission for us to send them a form? We will not send forms to references that you have not notified ahead of time.
*
Yes
No
I do not need a reference
Name of Second Reference
Your answer
Email of Second Reference
Your answer
Have you asked this reference permission for us to send them a form?
*
Yes
No
I do not need a reference
For students in need of TB Risk Assessment
Have you already completed the TB Risk Assessment?
*
Yes
No
Do you want us to have the school nurse call you to do your TB risk assessment? If you answer NO, it means that you'll be going to your own doctor to do the TB risk assessment.
Yes
No
Clear selection
If yes, what is your phone number?
Your answer
What is your SFUSD email address?
*
Your answer
What is your personal email address?
*
Your answer
Have you completed a work permit and statement to employ form?
*
Yes
No
Required
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