STUDENT Daily Screener

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STUDENT Daily Screener - Buchanan

School Name: BUCHANAN

Complete the screener below.

Haga clic aquí para completar en español: https://forms.gle/7dDtmVd9yMBG5rn57
Kanda hano usome ibi muri Ikinyarwanda: https://www.grps.org/images/Student_Health_Screener_KY.pdf
Bonyeza hapa kusoma kwa Kiswahili: https://www.grps.org/images/Student_Health_Screener_SW.pdf

A beírt űrlapadatok mentéséhez jelentkezzen be a Google-fiókjába. További információ

Student Grade *

1. Student's First Name *

2. Student's Last Name *

3. Has your child had close contact (within 6 feet for 15 minutes or more) with a person who has been confirmed to have COVID-19 in the last 14 days? *

Yes

4. Is anyone in your household awaiting a pending COVID-19 test result? *

Yes

5. Does your child have any of the following symptoms? *

Yes

IMPORTANT NOTIFICATION: If you answered "YES" to any of the above questions, your child may not attend school or athletics/other activities today. Please contact your school for more information. *

I have answered this screening tool honestly to the best of my knowledge.

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Google Űrlapokon soha ne adjon meg jelszavakat.

Az űrlapot a(z) Grand Rapids Public Schools domainen belül hozták létre. Visszaélés jelentése

Űrlapok