COVID-19 Pre Return to School Questionnaire for Students

BEFORE COMPLETING THIS FORM, YOU MUST READ ISI'S COVID19 PROTOCOLS, CLICK HERE.

Please confirm you have read and understood the above Covid19 protocols, and complete form no more than 72 hours before starting school. *

Yes, I have read and understood the protocols and I am completing this form no more than 72 hours before starting school.

Student Name *

First

Last

Country of birth (nationality) *

Date of birth *//

What date does your course at ISI start or start again? *

REMEMBER YOU MUST COMPLETE THIS FORM 0-72 HOURS BEFORE YOUR COURSE START DATE. IF YOU COMPLETE THE FORM MORE THAN 72 HOURS BEFORE COURSE START DATE, YOU WILL BE ASKED TO COMPLETE IT AGAIN ON YOUR FIRST DAY.

Student Email *

Confirm Email

Mobile number *

What is your vaccination status? *

Not fully vaccinated yet (i.e. You have received or are waiting to receive 1st or 2nd dose, but you are not considered fully vaccinated yet)
Fully vaccinated
Not vaccinated (i.e. You will not be getting vaccinated)

Please note vaccines are a personal choice. It is not obligatory to be vaccinated to study at ISI. However, knowing your vaccination status will help us to follow correct HSE protocols, if there is a Covid19 case in the school and if placing you in a host family. Your vaccination status will be kept private, and only shared with key senior staff members and your host family, if required.

Do you currently have Covid-19? *

Have you displayed any symptoms of Covid19 in the last 14 days, namely fever, high temperature, runny nose, headache, persistent coughing, breathing difficulties / shortness of breath, and / or loss of taste or smell? *

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