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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 White Plains CSD
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 ID:
(optional)
*
First Name:
*
Last Name:
*
Phone Number:
*
Email:
*
Confirmation Email:
*
School:
Select a School
Church Street Elementary
Community School
Damman House
Eastview Middle School
Education House
Facilities
George Washington Elementary
Highlands Middle School
Mamaroneck Avenue Elementary
Newcomer Center
Non-public Transportation
Post Road Elementary
PreKindergarten Program
Ridgeway Elementary
S.T.A.R.
Summer School
White Plains High School
Do you have any of the following symptoms or situations (except if they are related to Covid19 vaccine):
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 taken medication to mitigate a fever within the last 24 hours?
Have you had a fever within the last 24 hours?
Have you, if unvaccinated, had close or proximate contact with confirmed or suspected COVID-19 case in the past 10 days.
Have you had any COVID-19 symptoms in the past 10 days.
Have you tested positive for COVID-19 in the past 10 days.
Do any of the above situations apply to the above named person?
No
Yes
Not attending work/school today