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COVID Employee Health Reporting Form
Please complete the form with as much information as possible. Either employee or supervisor can complete the form.
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* Indicates required question
Email
*
Your email
Person Completing Form
*
Your answer
Last Name of Employee confirmed, suspected, or exposed to COVID-19
*
Your answer
First Name of Employee confirmed, suspected, or exposed to COVID-19
*
Your answer
Dept/Campus of the Employee
*
Choose
Carver Elementary
Cooper Elementary
Ford Elementary
Frost Elementary
McCoy Elementary
Mitchell Elementary
Purl Elementary
Village Elementary
Williams Elementary
Wolf Ranch Elementary
Benold MS
Forbes MS
Tippit MS
Wagner MS
East View HS
Georgetown HS
Richarte HS
GAP (Georgetown Alternative Program)
JJAEP
Administrative and Support Services
ASAP
Assessment
Athletics
Bilingual and ESL
Business Office
Community Engagement and Communications
Custodial Services
Eagle Wings
Federal Programs
Fine Arts
Guidance and Wellness
Human Resources
Maintenance
Nutrition Services
Operations
Professional Learning
Special Education
Teaching and Learning
Technology
Transportation
Superintendent's Office
Other
Employee's Position
*
Your answer
Employee Telephone Number (Cell or Home)
*
Your answer
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