The City and County of San Francisco Health Officer Directive requires Project Open Hand Volunteers to answer three COVID-19 screening questions before starting their work every day that they volunteer prior to arriving for their scheduled shift.  

To comply with this order, we ask that you complete this form, agreeing to assess your health each day before your volunteer shift. Please submit this form by June 19, 2020.

Question Title

Each day before your volunteer shift, you are required to assess your health using the following three questions. The questions are also available through the SF City and County Online Health Screener and Personnel Screening Handout.

<strong>Each day before your volunteer shift, you are required to assess your health using the following three questions.</strong> The questions are also available through the SF City and County <a href="https://sf.gov/covid19-health-checks" rel="nofollow" target="_blank">Online Health Screener</a> and <a href="https://www.sfcdcp.org/wp-content/uploads/2020/05/COVID19-Personnel-ScreeningV2-Handout-FINAL-5.15.2020.pdf " rel="nofollow" target="_blank">Personnel Screening Handout</a>.
In signing this form, I understand and agree to do the following:

1. Review the City and County of San Francisco Health Officer Directive questions prior to attending each of my scheduled shifts at Project Open Hand.

2. Take the following steps based on the answers above. 
  • If I answer “no” to all of the above questions, I will proceed to my scheduled shift.
  • If I answer “yes” to any of the above questions, I will notify Volunteer Services by email volunteer@openhand.org or phone 415 447 2404 and take the precautions necessary as outlined in the Personnel Screening Handout.
  • If any of my answers change while I am at Project Open Hand, I will notify Volunteer Services immediately and leave the premises.
  • I may be required to obtain a COVID-19 test prior to returning to Project Open Hand.

Question Title

* 1. I agree to do assess my health using the three questions above.
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