Covid-19 Self Declaration Form

Covid-19 Self-Declaration Form_New Students

Covid-19 Self-Declaration Form_New Students

To help prevent the spread of COVID-19 in the school, every student must complete and sign a COVID-19 Self-Declaration Form before starting their course in Galway. On review of the form, management may contact you to ask you not to start school immediately, and in this case, will discuss a suitable alternative date for your start.

Do you have an EU Digital Covid Certificate? *
Do you have a negative result from an RT-PCR test taken no more than 72 hours before your arrival in Ireland? *
Do you have symptoms of Covid-19 now or have you had symptoms in the past 14 days? (Symptoms of Covid-19 are: cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like symptoms) *
Have you been diagnosed with a confirmed or suspected COVID-19 infection in the last 14 days? *
Are you a close contact of a person who is a confirmed case of COVID-19 in the past 14 days? *
Have you been advised by a doctor to self-isolate at this time? *