This form is to be completed each day by all volunteers, independent contractors, or staff of My G.I.R.L.S., Inc.
You must answer the following questions before working/volunteering for or on behalf of M G.I.R.L.S., Inc. every day that you work/volunteer.
If any answers change, notify another staff/volunteer and immediately leave.
I understand that if I answered “YES” to ANY of these questions, I may not be in attendance and must proceed as follows:If you answered YES to QUESTION 1 or QUESTION 2 in accordance with the Health department’s directive, you must isolate or quarantine accordingly. If you answered YES to QUESTION 3, you may have COVID-19 and to keep others safe, you should isolate until you know whether you have COVID-19, you may want to get tested!
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