COVID-19 Mandated Daily Screening
Per guidance from the Governor's Office regarding Phase re-openings, mandatory daily health screening assessments are required to be completed daily by anyone entering a school facility. Please answer the following questions.
* Required
Department
*
District Office
Transportation
Building and Grounds
IT
Food Service
Elementary School
JR High School
SR High School
Pupil Personnel Services
Instruction & Staff Development
Full name
*
Your answer
Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19?
*
Yes
No
Have you knowingly been in close or proximate contact in the past 14 days with anyone who has or had symptoms of COVID-19?
*
Yes
No
Have you tested positive for COVID-19 in the last 14 days?
*
Yes
No
Have you traveled internationally or out of New York State in the past 14 days?
*
Yes
No
If YES above, please tell us State or Country you traveled to.
Your answer
Have you experienced any of the following symptoms in the past 48 hours? (Check all that apply)
*
Fever - >100 degrees Fahrenheit
Loss of smell
Vomiting
Shortness of Breath
Loss of taste
Diarrhea
None of the above
Required
Daily Temperature Check (<100 degrees Fahrenheit = pass)
*
Pass
Fail
If a Visitor/Contractor, please put company name if applicable
Your answer
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