Occupational Health Questionnaire – Professional Teaching courses

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Please read the following before completing the questionnaire below:

We require all students undertaking professional teaching courses to complete an occupational health check. This initial screening form is to identify if further support from our Occupational Health service is required to ensure that new students meet the required health standards of their course before starting.

This initial screening form must be completed immediately so that, where applicable, we can ensure that you have support in place prior to the commencement of the course.

Your answers to this questionnaire are CONFIDENTIAL and will not be given to anyone without your written permission. For further information about how we process personal data, please see our student privacy notice.

Occupational health clearance is a condition of your enrolment therefore must be completed.

The Occupational Health Check will enable the University to make well-informed decisions about your fitness to train on your chosen course and to consider any reasonable adjustments that may be necessary to support you throughout your study, including your placements.

Please answer the next questions below honestly and accurately.

If you answer YES to any of the questions below you will be referred to the university's occupational health service.

1. Do you have any illness/ impairment/ disability* or allergies?(Required)

Yes

No

*This is a legal definition as per the Equality Act 2010 that confers rights to individuals who may be defined as having a disability under the Act as well as placing a duty on The University to make ‘reasonable adjustments’ to ensure no-one is substantially disadvantaged compared to others.

1.a) If you have answered 'Yes' to Question 1, do you think you may need any adjustments or assistance to help you undertake your course?(Required)

Yes

No

2. Are you having or waiting for treatment (including medication, but not contraceptive medication) or investigations at present?(Required)

Yes

No

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I declare that I have completed this form to the best of my knowledge, answering questions honestly and accurately

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Occupational Health Questionnaire – Professional Teaching courses