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Staff Daily Entry
Please fill out this form each day prior to your learner attending school
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* Indicates required question
Full name
*
Your answer
Gender
Female
Male
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Do you have any flu-like or Covid 19 symptoms? (Refer to communique sent 16/3/2022)
*
Yes
No
Do you have any gastric flu symptoms? (Refer to communique sent 16/3/2022)
*
Yes
No
Have you been in contact with COVID19 within the past 14 days?
*
Yes
No
Additional comments
Your answer
I declare that all the above information has been completed correctly and honestly
*
Yes
Required
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