MSD COVID-19 staff interest
For this school year, Manchester School District has partnered with the state of New Hampshire and Concentric to offer free optional COVID-19 testing for staff and students. As we prepare to launch the testing program for staff, we need to know how many staff members are interested in taking part in the program. If you are interested please fill out this quick form today – as soon as the program is ready to launch, we will send you an opt-in form.

It is to all of our benefit to get as many staff members signed up for this program as possible. Please feel free to share this form with your colleagues.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Staff ID Number *
School (list the school of your base assignment if you are attached to multiple locations) *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Sau 37. Report Abuse