Health Declaration

Thank you for taking the time to complete this brief health declaration.

RBMS – Health Declaration

Form Data

I confirm that I have not tested positive for COVID-19 in the past 21 days *
I confirm that I currently do not have any these common COVID-19 symptoms *
I confirm that I have not been in close contact with someone that has tested positive or has shown symptoms of COVID-19 in the last 14 days *
I confirm that I have not been contacted by NHS test and trace and asked to self-isolate in the last 14 days *
I confirm that I have not travelled outside of the UK and returned in the last 14 days *
I confirm that I do not fall into any these vulnerable groups *
I confirm that I have received the joining instructions for the event and read the COVID-19 measures information that is included. *

Additional Questions for Trainers

I confirm that I have all of the contents of the COVID-19 trainers safety kit? *
I have discussed my travel & accommodation plans with RLD and am aware of the guidance provided by RLD to minimise risk *
I am aware of the requirements for COVID Secure training as covered in the RLD training session that determines my behaviour in relation to hygiene, social distancing, training delivery, supporting delegates experience and upholding RLD and our client/venue’s rules and policies and do not require refresher training. *
I generally feel fit and well and OK to deliver this training course? *

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Revolution Learning and Development Ltd
3 Balkerne House, Balkerne Passage
Colchester
Essex, CO1 1PA, UK

03333 444575

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