COVID-19 vaccine survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Second survey: In order to prepare for Monterey County entering the education and child care sector tier of Phase 1b of the vaccination schedule, Alisal Union School District is collecting the information noted below for all AUSD employees. This will help us to offer vaccinations to all employees that have not been vaccinated, and wish to receive the shots.

Segunda encuesta: el Distrito Escolar Alisal está recabando información para ayudar a todos los empleados que quieran recibir la vacuna del COVID-19 a recibirla. Favor de responder la siguiente encuesta si quiere que le ayudemos a recibir la vacuna. La información es confidencial y sólo se usará para ayudarle a recibir la vacuna.

Email *

Last name, first name *

Job Classification *

Classified

Certificated

Administrator

Confidential

Other:

Did you already receive your first doses of the COVID-19 vaccine? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Alisal Union School District. Report Abuse

Forms