Staff Covid-19 reporting form | St John's College, University of Cambridge

Name

Telephone contact details

College email address

Department

Time and date of onset of symptoms or test.

Time and date of exposure to close contact who has tested positive for Covid-19 (where applicable).

Have you booked a coronavirus test?

Do you require any support from the College?

Have you been working on site in the last week?

If so, who from the College have you been in close contact with (for 15 minutes or more within 2 metres distance)? Please list their names.

If there is any additional information that you would like to add, please do so below

Please note that the information that you provide below will go to the HR team and to Ruth Dean, College Nurse. In completing this form, you will provide personal data which the College will process in accordance with its data protection obligations and its Data Protection Policy. Please see the College website (www.joh.cam.ac.uk/data-protection) for our Data Protection Statement which contains further information about how we process your personal data.