Clio Area Schools Employee COVID-19 Screening - If you answer yes to any of the questions or have a temperature of 100.4 F (38 Celsius) or higher, please stay/return home and contact your supervisor for instructions.

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This form must be completed and submitted each morning before entering Clio Area Schools facilities/buildings.

Last Name *

First Name *

In the last 48 hours have you experienced? *

Yes

Within the past 14 days, have you been in close physical contact (6 feet or closer for at least 15 minutes) with a person who is known to have laboratory-confirmed COVID-19 or with anyone who has any symptoms consistent with COVID-19? *

Yes

Have you traveled internationally in the last 14 days? *

Yes

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