[VACCINATION AGAINST COVID-19 SURVEY] HUMAN RESOURCES

Instructions:

hopefully this:

  1. is easier than printing, signing, scanning and sending
  2. is safer than walking around asking people to sign during pandemic
  3. is less worrisome than sending around electronic photos of signature
  4. fills up the gap of google form for not having signatures
  5. enables the creation of online forms faster than development of systems for each form

 


VACCINATION AGAINST COVID-19 SURVEY
HUMAN RESOURCES

user: Login for workers with AOLIS Account | Login for Students with AOLIS Account | Login with @aup.edu.ph AUP Email account | | time: Tue Dec 7 23:22:21 PST 2021 , forminstanceid: 0 Last signed: . Last edited: . | Signatures/Approvals: 0/0

Name of Employee

Position/Job

Date of Filing

Residential Address

Mobile No.

Have you had COVID-19 vaccination?

If Yes:

1st Dose

Date

Manufacturer*

Facility Name

2nd Dose

Date

Manufacturer*

Facility Name

If No:

State your reason why you have not been vaccinated.

If you have not been vaccinated with anti-Covid19 vaccine, indicate your intent by choosing from the following options:

If you do not want to be vaccinated, please state your reason/s.

*Vaccination Manufacturer: AstraZeneca, Janssen, Moderna, Pfizer, Sinovac, Others (kindly state the name).

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