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As we continue to adapt to the COVID-19 pandemic,
the health and safety of our school district community remains our top priority.
To ensure the health and safety of our school district community, it is paramount that authorized personnel at Greenburgh Eleven
receive the most accurate health-related information from our employees.
In order to facilitate this process, we kindly ask for you to fill out these COVID-19 Screening Questions as accurately as possible.
Once you complete the questions, please click "
Submit
" at the bottom.
*
Contact Type:
Select Contact Type
Student
Staff
**Contact Type is Required**
Contact ID:
(optional)
*
First Name:
**First Name is Required**
*
Last Name:
**Last Name is Required**
*
Phone Number:
**Phone Number is Required**
*
Email:
**Email is Required**
**Valid Email Address is Required**
*
Confirmation Email:
**Confirmation Email is Required**
**Emails Must Match**
*
School:
Select a School
Dobbs Ferry school
GED Greenburgh Eleven UFSD AHSEP
Greenburgh 11 District
Inactive Student Building
**School is Required**
Do you have any of the following symptoms:
Fever of 100.0 or more or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea
Have you tested positive for COVID-19 or have had any COVID-19 symptoms in the last 14 days?
Have you been in close contact with a confirmed or suspected COVID-19 case in the last 14 days?
Have you traveled internationally or to any state that will require you to quarantine, in the last 14 days?
Are you experiencing any of the symptoms or scenarios above?
No
Yes
**Question Must Be Answered!**