MCOE Vendor Check-In Sheet

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Please fill out this survey if you fall under any of the following categories. This is required for entrance into the building:
- Vendors
- Maintenance Workers
- Visiting Teachers and Staff (including MCS, Oracle and Phoenix Academy)
- Interviewees
- People meeting with Personnel
- Anyone who does not have an office in the building

Email *

First and Last Name *

Date In Office *

This is the date that you actually worked on site.

YYYY

I affirm that I have been without fever (100.4 or above) for 24 hours without the use of fever-reducing medications and that I have not had symptoms of respiratory illness (cough, shortness of breath, or runny nose) in the past 24 hours. *

Yes

I affirm that I do not live with anyone who has recently tested positive for COVID-19, nor have I had known close contact with anyone who has recently tested positive for COVID-19. *

Yes

Are you fully Vaccinated? *

Fully Vaccinated = 14 days after your 2nd shot of Pfizer/Moderna or a single shot of Johnson & Johnson

Yes

Reason for Visit *

Employee you are meeting *

Vendor/Visitor Cell Phone *

A copy of your responses will be emailed to the address you provided.

Submit

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