COVID-19 – eMaritime Group

To help reduce unnecessary contact please fill in the COVID form online before coming to our training facility. To ensure the safety of all parties and to stop the further spread of the COVID-19 virus, please complete the below questions as honestly and accurately as possible prior to your training course.

Course Start Date*

Student Name*

First Last

Contact Number*

Email Address*

Enter Email Confirm Email

Have you or anyone in household had COVID-19?*

Yes
No

If Yes - please provide details:*

Have you or anyone in your household had any of the following symptoms in the last 14 days: dry cough, fever, high temperature, shortness of breath, loss of sense of taste or smell, sore throat?*

Yes
No

If Yes - please provide details:*

Have you travelled outside of the UK in the past 14 days?*

Yes
No

If Yes - please provide details:*

Are you in the high risk category (clinically extremely vulnerable) as defined by the UK government?*

Yes
No

If Yes - please provide details:*

Are you in the moderate risk category (clinically vulnerable) as defined by the UK government?*

Yes
No

If Yes - please provide details:*

If you are unsure about the risk categories above please click here to check the UK government guidance.

Student Guidance

Please ensure you are on time for your course.
During your visit to the training facility we request that all visitors use the track and trace registration, QR code system has been posted inside the facility.
Please limit the personal possessions you bring with you (leave securely in your car where possible)
Upon arrival you must use the hand sanitiser provided.
Face marks are available from the reception desk.
If you experience any COVID-19 symptoms either during your stay with us or up to 14 days after you have left us, please contact us via phone or email immediately.

CAPTCHA

Terms & Conditions*

By accepting the Terms and conditions you agree that the information you will be submitting is true and agree for the information to be stored. In line with guidance issued by the UK Government, we will keep your details safely and in compliance with GDPR legislation for 21 days before securely disposing of or deleting them. We will only share your details with NHS Test and Trace, if asked, in the event that it is needed to help stop the spread of coronavirus. We will not use your details for any other purposes or pass them on to anyone else.

I have read and agree to the Terms & Conditions

Student Guidance

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