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    Staff Coronavirus (COVID-19) Health Questionnaire

    Each staff member should complete this questionnaire before starting each shift. Please provide your completed questionnaire to reception to keep as a record.
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    • If you answered YES to either of the above questions you should not attend work until advised by the Department of Health and Human Services that you are released from isolation or until your 14-day quarantine period is complete.
    • If you answered NO to the above questions, proceed to the symptom checklist below
    • Are you experiencing these symptoms?
    • If you answered YES to any of the above questions you should not enter your workplace (or should leave your workplace). Tell your employer, go home, and get tested for coronavirus (COVID-19).
    • If you answered NO to all the above questions, you can enter your workplace.
    • If you develop symptoms, stay at home and seek further advice from the 24-hour coronavirus hotline 1800 675 398 or your general practitioner. You are encouraged to download the COVIDSafe App to assist contact tracing. Staying apart keeps us together. For more information about Coronavirus (COVID-19), please visit vic.gov.au/coronavirus
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    Phone: +61 3 9347 3428
    admingh@graduatehouse.com.au

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      ©2018 The Graduate Union of The University of Melbourne | ABN: 55610664963 IARN: A0023234B

      Graduate House Christmas Appeal

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      • Please let us know where you would like your donation to be directed
      • Please let us know where you would like the 'other' part of your donation to be directed. You donation will be split evenly between both the Christmas Appeal and this 'other'.
      • Price: $ 100,000.00
        We could not be more grateful for your incredible generosity!
      • Price: $ 50,000.00
        Golly gosh - many many thanks!
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        Gosh - many thanks!
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        Very generous!
      • Price: $ 5,000.00
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      • Price: $ 500.00
        Thank you!
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        ^Yes' indicates that you are happy to be acknowledged (first name and surname) for your donation in our publications. 'No' indicates that you wish to remain anonymous. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.
        ^Yes' indicates that the company name will be acknowledged for the donation in our publications. 'No' indicates that the company name will not be given. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.
        ^Yes' indicates that the name of the funding entity will be acknowledged for the donation in our publications. 'No' indicates that the funding entity will not be named. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.
      • Payment of the donation

      • Please direct cheque to The Graduate Union of The University of Melbourne Inc.

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        Account Name: The Graduate Union of The University of Melbourne Inc.
        Bank: National Australia Bank
        BSB: 083 170
        Account Number: 515612137
        Swift Code: NATAAU3303M
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        Account Name: Diamond Jubilee Campaign
        Bank: ING Bank (Australia) Limited
        BSB: 923 100
        Account Number: 6079 1331
        Swift Code: INGBAU2S
        Description: Surname_Firstname_2018
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