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Do you have any COVID-19 symptoms?(Required)
Fever above 100.4° | Cough | Shortness of Breath | Difficulty Breathing | Chills | Repeated shaking with chills | Headache | Sore Throat | New loss of taste or smell | Diarrhea | Vomiting | Muscle Pain (not related to work or home activity)
Have you taken any medication for the purpose of reducing a fever with the last 24 hours?(Required)
Have you worked in another facility that has confirmed COVID-19 cases in the last 14 days?(Required)
Have you been in close contact with anyone diagnosed with COVID-19 in the last 14 days?(Required)
Have you been in close contact with anyone with COVID-19 symptoms in the last 48 hours?(Required)
Have you been in close contact with anyone with COVID-19 symptoms in the last 48 hours?(Required)
If YES to any, the employee is not permitted to enter the facility and must go home and notify their supervisor.
If proceeding onsite, the individual must remember to:
• Wash or sanitize their hands using an alcohol-based hand sanitizer at least every 60 minutes
• Not shake hands with or touch individuals
• Stay in their assigned work area as much as possible
• Use only the designated bathroom for their department
• Wear their mask at all times, except during lunch breaks
• Maintain social distancing, at least 6 feet, as much as possible.
I have read the requirements to enter the building and attest that by signing this form I am in compliance with noted requirements.
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Come on down to 511 E 3rd Street (in front of NCC Fowler Center) in Bethlehem today between 9 AM and 1 PM to take the next step in your career! Our staff is standing by, ready to help you with your job search. Discover all we offer, face-to-face.

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Auxiliary Aids and Services are available upon request to individuals with disabilities/Equal Opportunity Employer/Program. Programs at PA CareerLink® Lehigh Valley are funded in whole or in part by federal funds. Detailed information can be found at www.lvwib.org/stevens-amendment. Equal Opportunity Officer: EqualOpportunity@careerlinklv.org or 610-841-8332 TTY Line 610-437-0741. More information on adaptive equipment and Equal Opportunity resources can be found at www.lvwib.org/equal-opportunity-and-adaptive-equipment.
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Come on down to 511 E 3rd Street (in front of NCC Fowler Center) in Bethlehem today between 9 AM and 1 PM to take the next step in your career! Our staff is standing by, ready to help you with your job search. Discover all we offer, face-to-face.  *****
Auxiliary Aids and Services are available upon request to individuals with disabilities/Equal Opportunity Employer/Program. Programs at PA CareerLink® Lehigh Valley are funded in whole or in part by federal funds. Detailed information can be found at www.lvwib.org/stevens-amendment. Equal Opportunity Officer: EqualOpportunity@careerlinklv.org  or 610-841-8332 TTY Line 610-437-0741. More information on adaptive equipment and Equal Opportunity resources can be found at www.lvwib.org/equal-opportunity-and-adaptive-equipment.

Discover your next opportunity at PA CareerLink® Awareness Days! Check out our schedule of events happening all week long. careerlinklehighvalley.org/event-calendar

*****
Auxiliary Aids and Services are available upon request to individuals with disabilities/Equal Opportunity Employer/Program. Programs at PA CareerLink® Lehigh Valley are funded in whole or in part by federal funds. Detailed information can be found at www.lvwib.org/stevens-amendment. Equal Opportunity Officer: EqualOpportunity@careerlinklv.org or 610-841-8332 TTY Line 610-437-0741. More information on adaptive equipment and Equal Opportunity resources can be found at www.lvwib.org/equal-opportunity-and-adaptive-equipment.
... See MoreSee Less

Discover your next opportunity at PA CareerLink® Awareness Days! Check out our schedule of events happening all week long. careerlinklehighvalley.org/event-calendar  *****
Auxiliary Aids and Services are available upon request to individuals with disabilities/Equal Opportunity Employer/Program. Programs at PA CareerLink® Lehigh Valley are funded in whole or in part by federal funds. Detailed information can be found at www.lvwib.org/stevens-amendment. Equal Opportunity Officer: EqualOpportunity@careerlinklv.org  or 610-841-8332 TTY Line 610-437-0741. More information on adaptive equipment and Equal Opportunity resources can be found at www.lvwib.org/equal-opportunity-and-adaptive-equipment.
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