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COVID-19 Isolation Plan Form

If you are travelling to New Brunswick, you must complete the following form to have your self-isolation plan approved. 

If you are required to self-isolate, UNB will provide you with support in developing your isolation plan and will ensure mandatory monitoring throughout the self-isolation period. More Travel Information.

There are up to 50 questions depending on the detail included in your plan.

Click on this Student Guide for descriptions of how to answer the questions in this Isolation Form.

There are 50 questions in this survey.

UNB’s PRIVACY COMMITMENT

UNB upholds its commitment to privacy and the protection of personal information. It is important you understand why we are collecting your personal information and how it will be used.

 

Completion of the COVID-19 self-isolation form is mandatory for any students travelling to New Brunswick from outside of Canada or the Atlantic provinces (New Brunswick, Nova Scotia, Prince Edward Island, and Newfoundland). UNB is required by the Government of New Brunswick to check-in with students daily upon arrival to New Brunswick from outside of Atlantic Canada, and to ensure a self-isolation plan is in place for your own safety and well-being and for the safety of others. 

 

The personal information collected in the COVID-19 self-isolation form will be used to contact you, to help UNB prepare for your arrival, and for internal planning and operational purposes related to COVID-19. It may also be used to coordinate a COVID-19 test, if required.

 

Access to the information you provide to us will be restricted to a limited number of employees involved in the coordination of self-isolation planning and contacting you for the daily check-ins. It may also be available to employees involved in operational planning related to and stemming from COVID-19.

 

There may be instances where the information collected on this form may be shared with the Government of New Brunswick Public Health for testing, and to assist with planning and prevention measures related to the COVID-19 pandemic.

 

The information collected on the COVID-19 self-isolation form is collected under the authority provided for in the New Brunswick Right to Information and Protection of Privacy Act. For more information on the protection of personal information at UNB please consult the Records Management and Privacy Office, University of New Brunswick, PO Box 4400, Fredericton, NB, E3B 5A3, (506) 453-4710, rtippa@unb.ca.