District Office (Business/Ed Svcs/HR/IT/Sped/Student Svcs/Supt Office)
Athletics/Coaches for MCHS
Child Development (Pre-School and EDP)
Food Services
Maintenance/Operations
Grand View
Meadows
Manhattan Beach Middle School
Manhattan Beach Pre School
Mira Costa High School
Pacific
Pennekamp
Robinson
Theater
Other
Today's Date (OR Last Date of Interaction) *
MM
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YYYY
Check all sites that you visited in the last 48 hours (during the course of your work day):
Did you interact with anyone (within 6 feet for more than 15 CUMULATIVE minutes total) in person within the last 24 hours? This includes employees, parents, students, independent contractors, and anyone else with whom you've come into contact.
Clear selection
Length of Interaction
Clear selection
MBUSD site where interaction took place
Choose
MB Preschool
Grand View
Meadows
Pacific
Pennekamp
Robinson
MBMS
Mira Costa
District Office
Exact Location of Interaction (room number, office, room name, field area, etc). Be specific
Your answer
Names of ANYONE with whom you were a close contact (employees, students, parents, vendors, independent contractors, etc.) Only list students if you see different students each day or different student groups on different days of the week.
Your answer
List anyone with whom you've come in contact for LESS than 15 minutes that you would like to be notified if they became COVID positive.
Your answer
A copy of your responses will be emailed to the address you provided.