A Special Reception for Kristine Simmons

Reception for Kristine Simmons

July 11, from 5-7:30 p.m. ET

First Name

Last Name

Are you a current Partnership employee?

YesNo

Company/Agency/Affiliation

If you have special requests or need accommodations, please detail them below.

Health & Safety Info

The Partnership for Public Service is committed to the health and safety of our guests. We will adhere to all District of Columbia and federal protocols related to COVID-19.

Attendees are required to provide proof of vaccination against COVID-19 or a negative COVID-19 test within 72 hours of the program. In accordance with DC regulations, masking is optional for guests.

Are you fully vaccinated?
For the purposes of right of entry to the Partnership, a person is considered fully vaccinated: 2 weeks after their second dose in a 2-dose series, such as the Pfizer and Moderna vaccines, or 2 weeks after a single-dose vaccine, such as Johnson & Johnson’s vaccine.

YesNo

What type of vaccine did you receive?

If Other, please list your vaccine type.

When did you get your first vaccination shot?

When did you get your second vaccination shot?

For proof of vaccination status, please upload a copy of your CDC-approved COVID-19 vaccination record card.

Thank you for your interest in joining us for this program. Please note, the Partnership has adopted a “Vaccination or Negative Test Required” approach for all attendees.

Individuals who are not vaccinated will need to bring a negative COVID-19 test to the program. Only negative tests taken within 72 hours of the program will be accepted. Your negative test will be checked at the door.

By checking the box below you confirm your plans to bring proof of negative status to the program.

Date

Time

Location

Health & Safety Notice

Questions?

Reception for Kristine Simmons

Health & Safety Info