Overseas Volunteer Pre-Arrival Health Declaration
Personal Information
Full Name
Date of Birth
Passport Number
Email Address
Expected Arrival Date
Travel & Exposure History
Countries visited in the last 14 days
Have you had close contact with anyone diagnosed with a contagious illness (e.g. COVID-19) in the last 14 days?
Yes
No
Health Declaration
Are you currently experiencing any of the following symptoms?
Fever
Cough
Shortness of breath
Sore throat
None of the above
Please indicate any existing medical conditions or medications
Declaration
I confirm that the above information is true to the best of my knowledge.