Please fill out this form if your school district has interest in participating in a Webex video conference regarding the Comprehensive Resource Guide for Screening COVID-19 in Schools on Tuesday, September 8 at 4:30 p.m.

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* 1. School District Name

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* 2. School District Medical Director

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* 3. Number of Attendees

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* 4. Attendees' Names

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* 5. Number of RNs Employed by School District (PreK - 12)

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* 6. Student Health and Wellness Contact, Name

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* 7. Student Health and Wellness Contact, Phone Number

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* 8. Questions/Topics you'd like discussed

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