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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 Irvington UFSD
receive the most accurate health-related information.
In order to facilitate this process, we kindly ask for you to review and submit your 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**
*
Confirm Email:
**Confirmation Email is Required**
**Emails Must Match**
*
School:
Select a School
Dows Lane Elementary School
Irvington High School
Irvington Middle School
Main Street School
**School is Required**
Are you currently experiencing a fever with a temperature of 100 F or more ?
Do you currently have (or have had in the last 10 days) one or more of these new or worsening symptoms?
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 in the last 10 days or are presently waiting for results of a COVID-19 test?
Have you been designated a contact of a person who has tested positive?
Have you traveled internationally that will require you to quarantine, in the last 10 days?
Are you experiencing any of the symptoms or scenarios above?
No
Yes
**Question Must Be Answered!**