Self Screening Tool for On-Campus Work
This form must be completed by any employee or student employee approved to work on campus on or after June 1, 2020.  Some positions require in-person screening.  For those positions where in-person screening is not required, this form can be used.
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Email *
Name *
ID Number
Today's date *
MM
/
DD
/
YYYY
I have a working thermometer that I used to take my temperature *
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