Site Concerns During Return to In-Person

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Please take a moment to describe unsafe conditions at your site (ie my room is too small for students to have the required social distancing) and unsound learning conditions (ie, 15 new students from across the district were added to my VLS class roster the day before we started)

We want to collect your contact information so that we can contact you to follow up if need be. Your name will not be shared with the district.

This is a space to collect concerns. If you have questions that need to be answered, please reach out to your building steward and/or organizer.

Your name *

email *

Cell Phone *

Please select your building/program *

Please describe the concern you have experienced or witnessed *

I am working *

In person

VLS

both

I am *

Educational Assistant

School and Community Service Professional

Licensed Staff

I have reported this concern to: *

my steward

my organizer

my principal/supervisor

Other:

Required

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