MCPS is committed to the safety of our staff, students and community. Please fill out this form weekly before entering a school building, MCPS office building, school bus, or other MCPS work location. If you answer YES to any of the following questions, DO NOT come to work and contact your supervisor for how to proceed.

Please read the following series of questions carefully, then affirm your answer below.

1. Since last at work, have you had any of the following symptoms: cough, shortness of breath, difficulty breathing, new loss of taste or smell, fever of 100.4 degrees or higher (measured or subjective), chills, muscle aches, sore throat, headache, nausea or vomiting, diarrhea, fatigue, congestion or runny nose; THAT ARE NOT DUE TO ANOTHER HEALTH CONDITION?

2. Since last at work, are you waiting for a COVID-19 test result; have you been diagnosed with COVID-19, or have you been instructed by any health care provider or the health department to isolate or quarantine?

3. In the last 14 days, have you had close contact (within 6 feet for at least 15 minutes) with anyone diagnosed with COVID-19 or suspected of having COVID-19?

IMPORTANT NOTE: Read this update that clarifies expectations regarding travel during the pandemic and its impact on in-person staff in schools and offices.  https://tinyurl.com/4y7e6ccs 

IMPORTANT NOTE: If your answer is YES to any of the above questions, you ARE NOT ALLOWED in an MCPS school or office.

If your answer is NO to ALL of the above questions, you ARE ALLOWED in an MCPS school or office.