RNESU Student Daily Health Screening
All students must be screened daily before entering RNESU buildings.
If "DO NOT ENTER" is advised below, contact your SCHOOL NURSE.
Student Last Name
Student First Name
School (this survey is just for RNESU schools, not Hannaford or Stafford Tech)
Otter Creek Academy: Leicester
Otter Creek Academy: Whiting PreK
Otter Valley MS/HS
Otter Valley North Campus
How are you getting to school today?
Have you been in close contact (within 6 feet for at least 15 minutes) with someone with COVID 19? IF YES, DO NOT ENTER THE BUILDING.
Have you traveled outside of VT in the past 14 days for non-essential purposes? Essential travel includes travel for personal safety, health care, care of others, parental shared custody, for food, beverage or medicine, for students to attend preK-12 school or college daily, or for work. IF YES, DO NOT ENTER THE BUILDING.
Have you had a temperature above 100.4 Degrees in the past 24 hours? IF YES, DO NOT ENTER THE BUILDING.
Do you have _________? IF YES TO ANY OF THESE SYMPTOMS, DO NOT ENTER THE BUILDING.
Shortness of Breath
New Loss of Taste or Smell
NONE OF THE ABOVE
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This form was created inside of Rutland Northeast Supervisory Union.