Skip To Content

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.
Keep Up With Us on Social
Comments Box SVG iconsUsed for the like, share, comment, and reaction icons

💼 Tough decisions ahead? You don’t have to face them alone.
CareerLink’s Rapid Response Rightsizing program is here to support you, your employees, and your community with compassionate, no-cost services during times of transition or uncertainty. Learn more about this service: careerlinklehighvalley.org/employers/rapid-response-rightsizing

***
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

💼 Tough decisions ahead? You don’t have to face them alone.
CareerLink’s Rapid Response Rightsizing program is here to support you, your employees, and your community with compassionate, no-cost services during times of transition or uncertainty. Learn more about this service: careerlinklehighvalley.org/employers/rapid-response-rightsizing 

***
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.

At PA CareerLink® Lehigh Valley, we are dedicated to fostering a culture of continuous career advancement. Explore how we can support your learning and development, whether through job search assistance, skill enhancement, or on-the-job training. #NLDMonth
👉🏽 ow.ly/Z1hK50X72Rr

*****
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 ow.ly/ttUJ50X72Rt. 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 ow.ly/y6Fv50X72Rq.
... See MoreSee Less

At PA CareerLink® Lehigh Valley, we are dedicated to fostering a culture of continuous career advancement. Explore how we can support your learning and development, whether through job search assistance, skill enhancement, or on-the-job training. #NLDMonth
👉🏽 https://ow.ly/Z1hK50X72Rr 

*****
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 https://ow.ly/ttUJ50X72Rt. 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 https://ow.ly/y6Fv50X72Rq.

There’s something going on every day in October at CareerLink! Check out the events calendar and come visit us in Allentown, or join online when available.
🗓️ 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

There’s something going on every day in October at CareerLink! Check out the events calendar and come visit us in Allentown, or join online when available.
🗓️ 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.
Load more