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.
Department *
Full name *
Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19? *
Have you knowingly been in close or proximate contact in the past 14 days with anyone who has or had symptoms of COVID-19? *
Have you tested positive for COVID-19 in the last 14 days? *
Have you traveled internationally or out of New York State in the past 14 days? (excluding MA and CT) *
Have you experienced any of the following symptoms in the past 48 hours? (Check all that apply) *
Required
Daily Temperature Check (<100 degrees Fahrenheit = pass) *
If a Visitor/Contractor, please put company name if applicable
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