COVID-19 Health Survey
Please complete the health questionnaire prior to coming to work. If you answer "Yes" to any of the questions, please stay home and contact your immediate supervisor. Note: The information collected on this form will be used to determine only whether you may be infected with COVID-19. The information on this form will be maintained as confidential. Any questions should be directed to your immediate supervisor or the Director of Instructional Support Services.
Email address *
Please indicate where you work. *
I am a 12-month employee or working in the ESY program
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