RUFSD Staff COVID Vaccine Form

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Thanks for filling out the RUFSD Staff COVID Vaccine Form.

September 13, 2021 Effective immediately, the New York State Department of Health has mandated that all P-12 school districts implement COVID-19 testing of their employees. From the Commissioner’s Determination on COVID-19 Testing Pursuant to 10 NYCRR 2.62 on September 2, 2021: "Testing Requirement for teachers and staff: P-12 schools are required to ensure teachers and staff...have testing performed for COVID-19 at least once per week when a school is in a geographic area identified by the CDC as having low, moderate, substantial, or high transmission rates. Teachers and staff may be permitted to opt-out of mandatory weekly screening testing if they provide documentation of being fully vaccinated against COVID-19, as set forth in 10 NYCRR 2.62. Teachers and staff who work at multiple schools do not need to receive multiple tests; they may use one weekly test result to demonstrate to any number of schools where they work that they have fulfilled this requirement." As we await additional guidance from the Nassau County Department of Health, and in order to better assist our employees with meeting these requirements, please answer the following questions. DEADLINE: Friday, 9/24/21 Details regarding submission of proof and mandated weekly testing results will be shared in a separate email. Sincerely, Dr. Deborah L. Wortham, Superintendent of Schools.

Email *

FIRST NAME

LAST NAME

Building If you work in multiple buildings, please select a "home" building, or select "Other"

Central Office

Roosevelt High School

Roosevelt Middle School

Centennial

Ulysses Byas

Washington Rose

Other:

Role

Administrator

Custodial/Grounds/Maintenance/Tech

Food Services

Nurse/Psychologist/Social Worker/OT/PT

Office Staff

Security

Paraprofessional ( Monitor/Teacher Aide/Teaching Assistant)

Teacher

Other:

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Status

Fully Vaccinated

Partially Vaccinated

NOT Vaccinated

Vaccine Appointment Scheduled

Prefer not to answer

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Teachers and staff who have been fully vaccinated and provide proof may be permitted to "opt-out" of the mandatory weekly testing. Details regarding submission of proof and mandated weekly testing results will be shared in a separate email. Sufficient proof of full vaccination includes, but may not be limited to: - a CDC COVID-19 vaccination card; - the New York Excelsior Pass or - a record prepared by a licensed health practitioner Proof that is submitted of a vaccination status will be kept strictly confidential by the school district. No response needed for this item.

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