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.
Please indicate where you work.
Buildings and Grounds
I am a 12-month employee or working in the ESY program
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This form was created inside of Palmyra-Macedon Central School District.