Interview Screening

In-person interview
Contract signings
form

If you are coming for an in-person interview or a contract signing please fill out the covid screening form below.

In-person Interview/Contact signing form

* Indicates required field

Name of Parent/Legal Guardian #1 attending the interview/contract signing *

Name of Parent/Legal Gusrdian #2 attending the interview/contract signing *

Name of child needing care *

Name of Siblings (if attending the interview/contract signing) *

Has anyone attending the interview/Contract signing have one or more of the following symptoms within the last 10 days: Fever, Chills, Cough, Shortness of Breath, Sore Throat, Nuasea, Vomiting, Diarrhea. *

Yes No

Has anyone attending the interview/contract signing traveled outside of Canada in the last 14 days? *

Yes No

To your knowledge has anyone attending the interview/contract signing been in contact with someone who has a) tested positive for COVID, b) is waiting for COVID test results or c) been alerted by Public Health or the COVID Alert app that they might have been in contact with COVID-19? *

Yes No

Comments/Questions if you have any *

Name of person filling out this form *

First

Last

Email of person filling out this form *

By clicking below, I acknowledge that the information I have given is truthful and i accept responsibility for untrue statements. *

I acknowledge that the information I have given is truthful and I accept responsibility for untrue statements

Submit

In-person interview
Contract signings
form

In-person Interview/Contact signing form

I Would Love to Have You Visit Soon!

Regular Hours

Teacher Hours

Location

In-person interview Contract signingsform

In-person Interview/Contact signing form

I Would Love to Have You Visit Soon!

Regular Hours

Teacher Hours

Location

In-person interview
Contract signings
form