TEACHING IN CHINA
HOME
ABOUT
CHINA PROGRAMME
BLOG
More...
APPLY
My Items
Health Declaration
Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.
Do you have Hypertension:
No
Yes
If yes, please provide more information in the box below:
Do you have HIV or AIDS:
No
Yes
If yes, please provide more information in the box below:
Do you have any cardiovascular issues:
No
Yes
If yes, please provide more information in the box below:
Do you have any mental health issues:
No
Yes
If yes, please provide more information in the box below:
Do you have any other medical issues that TEACHING IN CHINA should be aware about (no matter how small or trivial they may seem, it is important to note:
Date
Initials
I confirm that the information given in this form is true to the best of my knowledge
Your Signature
Clear
Submit
Thanks for submitting!