In-Person Student and Staff Survey

The County’s Mandatory Directive for Schools requires all schools to provide the County Public Health Department with a regular report on the number of students and staff anticipated on campus for an instructional program and the number of students and staff anticipated on campus for a non-instructional program.  The following activities are instructional programs:  in-person instruction, limited instruction, targeted support services, distance learning support (i.e., distance learning hubs), and facilitation of distance learning (e.g., teachers providing remote instruction from their classroom).  Non-instructional programs would include athletics,  childcare, and before- and after-school programs.

Each school must complete this survey by the end of the 15th of each month. A separate submission must be made for each school. In addition, each school must update its response within one week of a significant change in the number of students and/or staff on campus. A significant change is defined as a change of >5% or 20 individuals on campus.

Each school must submit this survey even if there are no students or staff on campus. This survey may be completed by either a school site administrator or a COVID-designee. However, if the survey is completed by someone other than the COVID-designee, he/she remains responsible for ensuring on-time submission.

If you have any questions about this survey or need assistance in completing it, please contact DOCSchools@PHD.sccgov.org

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* 1. District Name (if applicable)

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* 2. School Name

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* 3. Type of School

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* 4.  COVID designee’s name

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* 5. COVID designee’s email address

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* 6.  COVID designee’s phone number

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* 7. If person submitting survey is other than the COVID Designee:

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* 8. Is your school open for in-person instruction? (A school is only considered open if it has invited at least all students in one grade level back for in-person instruction.)

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* 9. Will students or staff be on school campus(es) this coming month for an instructional program?

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