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Orange Public Schools: "At-Home" COVID-19 Testing Kits Program Interest Form
The Orange Public School District will offer " At-Home" COVID-19 Testing Kits or all district staff and students. This is a general interest form to help the district assess the level of interest in the program:
Please complete the information in the form below if you are interested in participating in the program. Additional information will be forwarded to all district staff and families when the program launches in mid-January 2023.
Schools will order 2 tests per staff/student population who participate in the program.
If you have any questions, please contact the school nurse at your school.
For information regarding the district's COVID-19 T Home testing Program, visit:
www.orange.k12.nj.us/COVIDResources
Please note:
This is
NOT
an enrollment form. It is created to help the district assess the level of interest in the program.
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School Name
*
Central Elementary School
Cleveland Street School
Forest Street Community School
Heywood Avenue School
Lincoln Avenue School
Oakwood Avenue Community School
Park Avenue School
Rosa Parks Community School
Orange Preparatory Academy of Inquiry and Innovation - Grade 8
Orange High School - Grades 9-12
The Twilight Program
STEM Innovation Academy of the Oranges - Grades 9 - 12
Orange Early Childhood Center
Scholars Academy
John Robert Lewis Early Childhood Center
Other:
Title
*
Student
Staff Member
Other:
First Name
*
Your answer
Last Name
*
Your answer
Grade
*
Pre-K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Staff Member
Other:
Are you interested in participating in the district's "At Home" Testing Kit Program
*
Yes
No
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