Home / Covid Vaccination Survey Covid Vaccination Survey Covid Vaccination Survey – Complete by June 2, 2021 Name* First Last Email* Covid Vaccination Status - Select One* I am fully vaccinated I will be fully vaccinated by June 30 I will be fully vaccinated by July 31 I will be fully vaccinated by August 31 I do not plan to be vaccinated by August 31 Return to In-Person Teaching I am comfortable teaching in the school after I am fully vaccinated I am comfortable teaching in the school after I am fully vaccinated, but will teach only those students who are fully vaccinated (only ages 12+ are eligible at this time) I am not comfortable teaching at the school under any circumstances Additional comments or questions (Do NOT disclose any aspects of your medical history / Do NOT disclose the reasons for your vaccination preference).
