Note: Please use Firefox or Google Chrome to complete this survey. Internet Explorer is no longer supported.

Sign up for COVID Testing (week of 11/29)

 
 
 COVID-19 Testing Sign-up Form 
Please complete this form if you are planning to be tested for COVID-19 at a Nassau BOCES location during the week of November 29, 2021.

 
1.
*
 
   
2.
*
 
   
3.
*
Consultants: Please enter 0 in this field in place of an Employee ID number
 
   
4.
*
Please enter @nasboces.org email addresses only.
 
   
5.
In addition to your Nassau BOCES email address, if you would like communications about your onsite testing to be sent to a personal email address (Aol, Gmail, Hotmail, Yahoo), you may enter it here. Otherwise, leave it blank.
 
   
6.
*
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

    
   
7.
*
 
*



   
 
 
 
 Done