COVID-19 Screening Attestation

At Washingtonville Central School District, the safety of our employees, students, families, and visitors remains our top priority. As the COVID-19 outbreak continues, we will closely monitor the situation and will periodically update our guidance based on current recommendations from New York State.

To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce, we are conducting a simple screening. Your participation is important to help us take precautionary measures to protect you and everyone in this facility. We request you complete this screening everyday prior to entering a facility. Based on your response, you will be informed if you should report to work or if you can enter our facilities.

Screening Questions

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  1. Since your last day of work, or last visit here, have you had any of these symptoms?
    • Cough
    • Shortness of breath or difficulty breathing
    • Fever (temperature of greater than 100.0° F in the last 14 days)
    • Chills
    • Repeated shaking with chills
    • Muscle pain
    • Headache
    • Sore throat
    • New loss of taste or smell
    Note: Answer “yes” if the symptoms you have experienced in the last 14 days are of greater intensity or frequency than what you normally experience.
  2. Have you had a positive COVID-19 test within the last 14 days?
  3. Have you had close contact with a confirmed or suspected case of COVID-19 case within 14 days?
  4. Have you traveled internationally or from a state with widespread community transmission of COVID-19 per the New York State Travel Advisory in the past 14 days?

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Valid last name is required.
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