K12 with Operations Partner On-boarding Checklist

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Please complete the checklist below

Name of School*

Contact information*

Contact information
Name	Email Address	Actions

Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address

Relationship Manager information*

Relationship Manager information
Name	Email Address	Actions

Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address
Name	Email Address

Organization questionnaire completed/submitted*

PnC Training completed, certificate issued*

PnC user provisioning completed, credentials issued*

Consent obtained from patients/guardians*

Consented patient (student and staff) roster uploaded*

Testing schedule determined and communicated to SHIELD IL *

Please enter days and times

Please enter days and times
Days	Times	Actions

Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times
Days	Times

Testing location determined with third party collections partner *

Please enter locations

Please enter locations
Locations	Actions

Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations
Locations

Set go-live date for testing *

Go live date

Invalid Fields

There are 0 invalid fields. They have been highlighted.