Student/Staff - Self Report Travel

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District 208 is asking all students (parents) and staff to share with the school district if you or an immediate family member has recently traveled or plans to travel prior to the end of the school year. This is being done out of an abundance of caution; however, in the event someone connected to the school has a confirmed case of Coronavirus, it will be important to have this information on hand to share with health officials to help District 208 make the most informed decisions about the status of operating our school.

Email *

Please indicate: *

Student (Parent)

Staff Member

First Name *

Last Name *

First Day Outside of the U.S. *

YYYY

Day Returned or Returning to the U.S. *

YYYY

Location(s) Visited Outside of the U.S. *

Please list all.

Additional Information

A copy of your responses will be emailed to the address you provided.

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