Self Isolation Form

Please complete this form if you have to self-isolate due to COVID-19. When should you self isolate and how long for?

Student ID Number

Forename

Surname/Family Name

Course

First Date of Self Isolation

Last Date of Self Isolation

You have travelled from outside the UK travel corridor

You or a member of your household has symptoms or has tested positive for of Covid-19

You are asked to by Test and Trace

After the receipt of this form, the Management Programme Team will move your face-to-face seminars to an online alternative for a period of 14 days.

Comprehensive information and support for self-isolating students is available at https://warwick.ac.uk/coronavirus/selfisolation/when/

Privacy notice

This form will be used to determine your availability to attend face to face teaching. Your answers will be recorded and associated with your name, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record of your availability to attend face to face teaching.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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Self Isolation Form

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