COVID-19 Screening Form
All employees in SHSD have student, staff and community safety as their primary concern. Our collective work as a community to prevent the virus from spreading will allow our district and schools to continue our operations. If we all take responsibility for following a few rules, our chances of preventing and containing the virus improve dramatically.

STAY HOME WHEN YOU ARE SICK OR IF YOU'VE HAD CLOSE CONTACT WITH SOMEONE WHO HAS COVID-19
WEAR A MASK AND MAINTAIN PHYSICAL DISTANCING OF 6 FEET
WASH YOUR HANDS FREQUENTLY

On the days you will be in-person at your work site, you must complete and submit this form PRIOR to leaving your home.
Email address *
Have you had any of the following symptoms in the last 72 hours that are not attributable to another condition? *
Required
Does anyone in your household have any of the above symptoms that are not attributable to another condition? *
Have you or anyone in your household been in close contact with anyone with suspected or confirmed COVID-19 in the past 14 days?
Clear selection
Today's Date *
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Submit
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