EMPLOYEE CAMPUS CHECK-IN & SYMPTOM CHECK CONFIRMATION

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EMPLOYEE CAMPUS CHECK-IN & SYMPTOM CHECK CONFIRMATION

This form is to be completed by faculty and staff when ON CAMPUS. This will serve as confirmation of your arrival to campus and will also confirm you have completed your symptom self-check at home BEFORE arrival.

This form also has additional important questions recommended by the CDC. Thank you for your prompt attention to completing this each day you arrive at Jesuit Sacramento.

AMDG

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Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Classroom / Office Location *

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