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* 1. Name of School

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* 2. Contact Email (for program point of contact)

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* 3. Report Week (i.e. 1/17/22 - 1/21/22)

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* 4. Number of Home Kits Distributed (Reporting Week)

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* 5. Number of Remaining Kits

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* 6. How many positive results from the home kits were reported during the reporting week? Note: Enter 0 if there were no positive results.

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