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Menu
Programs
Scholarships
Thesis Advisors
Highlights
Admissions
Overview
Fees
Financial Aid
Accommodations
Discover Singapore
Explore NUS
Experience NUS
Virtual Campus Tour
2022 NUS Graduate Education Virtual Open House
Current Students
Academic Matters
Graduate Assistantship Program
NG5001 Academic Communication for Graduate Researchers
NG5002 Research Ethics for Graduate Researchers
Research Progress Report
Career Preparation for Graduate Students
Feedback and Surveys
2022 NUS Graduate Students Survey
Graduate Program Feedback
Financial Aid
Student Research Assistant Scheme (SRA)
Short Term Work Scheme (STW)
Graduate Communication Support Space
Graduate Peer Student Supporter
Student Experience
3MT Three Minute Thesis
NUS Graduate School Partnership with Industry Scheme for Graduate Research Talent
(The NUSGS π Scheme)
NUS KI Exchange Programme
NUS Overseas Research Immersion Award (ORIA)
Student Portal
About
NUS Graduate School
Deanery
Team Members
Contact Us
Outstanding Graduate Mentor Award
COVID-19 Vaccination Form
Dear NUS Graduate Students
We are in the process of arranging Covid-19 Vaccination for graduate students whose research puts them in the high-risk group including those whose research require them to handle human blood/tissues, etc or work in high-risk environment e.g. hospital, senior care / nursing homes, workers’ dormitory, airport, etc or interact with individuals who are potentially infected / vulnerable.
Please note that vaccination is voluntary although we strongly encourage those in the high-risk group to be vaccinated early in this period of no/low community rates so that you protect not only yourself, but your loved ones and other vulnerable individuals that you come into contact with.
Please complete the questionnaire (even if you are not in the high-risk group) as soon as possible (extended deadline: Friday 26 February 12noon) so that we can determine how many of you require vaccination in this phase as vaccine supplies will arrive in Singapore in batches over several months and hence we need to prioritize vaccination only for those who are in the high-risk group before other groups.
Name
*
Dr.
Miss
Mr.
Mrs.
Ms.
Prefix
First
Last
Email
*
Handphone Number
*
Faculty/Institute and Department/Unit
*
Please select your HOME Faculty/School/Institute, followed by Department/Unit you are affiliated to.
Please select "Other" if it is not listed, and enter the information in the following field.
Faculty
Arts & Social Sciences
Business
Computing
Continuing & Lifelong Education
Dentistry
Design and Environment
Duke-NUS
Engineering
Integrative Sciences & Engineering
Law
Medicine
Music
Nursing
Public Health
Public Policy
Science
Yale NUS
Bioinformatics Institute (BII)
Bioprocessing Technology Institute (BTI)
Genome Institute of Singapore (GIS)
Institute of Bioengineering & Nanotechnology (IBN)
Institute of Medical Biology (IMB)
Institute of Molecular & Cell Biology (IMCB)
Singapore Bioimaging Consortium (SBIC)
Singapore Immunology Network (SIgN)
Singapore Institute for Clinical Sciences (SICS)
Skin Research Institute of Singapore (SRIS)
Singapore Institute of Food and Biotechnology Innovation (SIFBI)
Advanced Remanufacturing and Technology Centre (ARTC)
Institute for Chemical & Engineering Sciences (ICES)
Institute of High Performance Computing (IHPC)
Institute for Infocomm Research (I2R)
Institute of Materials Research & Engineering (IMRE)
Institute of Microelectronics (IME)
National Metrology Centre (NMC)
Singapore Institute of Manufacturing Technology (SIMTech)
A*STAR Computational Resource Centre (ACRC)
Singapore Aerospace Programme Office
Industrial Internet-of-Things Innovation (I3)
Operational & Technology Roadmapping
Pharma Innovation Programme Singapore (PIPS)
Asia Research Institute
Asian Institute Of Digital Finance
Cancer Science Institute
Center For Advanced 2D Materials
Center For International Law
Centre For Maritime Studies
Centre For Nature-Based Climate Solutions
Centre for Quantum Technologies
Centre For Remote Imaging, Sensing And Processing
Centre For Trusted Internet And Community
East Asian Institute
Energy Studies Institute
Institute For Health Innovation & Technology
Institute For Mathematical Sciences
Institute Of Data Science
Institute Of Operations Research And Analytics
Institute Of Real Estate And Urban Studies
Institute Of South Asian Studies
Life Sciences Institute
Lloyd'S Register Foundation Institute For The Public Understanding Risk
Mechanolobiology Institute
Middle East Institute
N.1 Institute For Health
NUS (Suzhou) Research Institute
NUS Environmental Research Institute
NUS Global Asia Institute
Risk Management Institute
Singapore Centre for Environmental Life Sciences Engineering
Singapore Nuclear Research And Safety Initiative
Singapore Synchrotron Light Source
Smart Systems Institute
Solar Energy Research Institute Of Singapore
Temasek Laboratories
The Logistics Institute - Asia Pacific
Tropical Marine Science Institute
Biotransformation Innovation Platform (BioTrans)
Experimental Therapeutics Centre (ETC)
p53 Laboratory
Other
Department
Other Department
Intake
Please enter your intake in the MM / YYYY format as provided.
MM
YYYY
Title of Research/Thesis
Supervisor’s (Main) Name
*
Prof
Assoc Prof
Assistant Prof
Dr
Mr
Ms
Mdm
Mrs
Prefix
First
Last
Supervisor’s Email Address
*
Supervisor's Faculty/Institute and Department/Unit
*
Please select your supervisor's HOME Faculty/School/Institute, followed by Department/Unit you are affiliated to.
Please select "Other" if it is not listed, and enter the information in the following field.
Faculty
Arts & Social Sciences
Business
Computing
Continuing & Lifelong Education
Dentistry
Design and Environment
Duke-NUS
Engineering
Law
Medicine
Music
Nursing
Public Health
Public Policy
Science
Yale NUS
Bioinformatics Institute (BII)
Bioprocessing Technology Institute (BTI)
Genome Institute of Singapore (GIS)
Institute of Bioengineering & Nanotechnology (IBN)
Institute of Medical Biology (IMB)
Institute of Molecular & Cell Biology (IMCB)
Singapore Bioimaging Consortium (SBIC)
Singapore Immunology Network (SIgN)
Singapore Institute for Clinical Sciences (SICS)
Skin Research Institute of Singapore (SRIS)
Singapore Institute of Food and Biotechnology Innovation (SIFBI)
Advanced Remanufacturing and Technology Centre (ARTC)
Institute for Chemical & Engineering Sciences (ICES)
Institute of High Performance Computing (IHPC)
Institute for Infocomm Research (I2R)
Institute of Materials Research & Engineering (IMRE)
Institute of Microelectronics (IME)
National Metrology Centre (NMC)
Singapore Institute of Manufacturing Technology (SIMTech)
A*STAR Computational Resource Centre (ACRC)
Singapore Aerospace Programme Office
Industrial Internet-of-Things Innovation (I3)
Operational & Technology Roadmapping
Pharma Innovation Programme Singapore (PIPS)
Asia Research Institute
Asian Institute Of Digital Finance
Cancer Science Institute
Center For Advanced 2D Materials
Center For International Law
Centre For Maritime Studies
Centre For Nature-Based Climate Solutions
Centre for Quantum Technologies
Centre For Remote Imaging, Sensing And Processing
Centre For Trusted Internet And Community
East Asian Institute
Energy Studies Institute
Institute For Health Innovation & Technology
Institute For Mathematical Sciences
Institute Of Data Science
Institute Of Operations Research And Analytics
Institute Of Real Estate And Urban Studies
Institute Of South Asian Studies
Life Sciences Institute
Lloyd'S Register Foundation Institute For The Public Understanding Risk
Mechanolobiology Institute
Middle East Institute
N.1 Institute For Health
NUS (Suzhou) Research Institute
NUS Environmental Research Institute
NUS Global Asia Institute
Risk Management Institute
Singapore Centre for Environmental Life Sciences Engineering
Singapore Nuclear Research And Safety Initiative
Singapore Synchrotron Light Source
Smart Systems Institute
Solar Energy Research Institute Of Singapore
Temasek Laboratories
The Logistics Institute - Asia Pacific
Tropical Marine Science Institute
Biotransformation Innovation Platform (BioTrans)
Experimental Therapeutics Centre (ETC)
p53 Laboratory
Other
Department
Other
COVID-19 Infection
*
Have you ever been previously infected with COVID-19 and recovered?
YES
NO
Vaccination Status
*
Have you been vaccinated or are you in the process of being vaccinated?
Completed
Incomplete
Scheduled
No
Vaccination Channel
NUS School of Medicine
Duke-NUS
NUS Pharmacy Department
NUS Faculty of Arts and Social Sciences
Others: please elaborate
Other Vaccination Channel
High-Risk Activity
*
Does your research require you to perform high-risk activity (e.g handling human blood/tissues) that put you in the higher risk group to be prioritized for vaccination?
No
Human Tissues
Others: please elaborate
Other High-Risk Activities
High-risk Environment
*
Does your research require you to work in a high risk environment e.g. hospitals, etc? (Click all that apply and elaborate)
No
Hospital
Nursing Home
Workers' Dormitories
Airport
Others: please elaborate
Name of Hospital
Name of Nursing Home
Name of Workers' Dormitories
Other High-risk Environment
High-Risk Interactions
*
Does your research require you to have a lot of interaction with high-risk group individuals? (Click all that apply and elaborate)
No
Patients
Foreign Workers
Elderly
Others: please elaborate
High-Risk Interactions: Patients
High-Risk Interactions: Foreign Workers
High-Risk Interactions: Elderly
High-Risk Interactions: Others
Other Reasons for Early Vaccination
If none of the afore-mentioned applies to you but you still believe that you belong to a high-risk group and should be vaccinated early, please elaborate here.
Contraindications
*
Do you have any of the following conditions (tick all that apply)
Pregnancy
Immunocompromised
Previous anaphylaxis or severe allergy reaction (e.g face/lip/eye swelling, difficulty breathing, drop in blood pressure)
Breastfeeding
Bleeding disorder
None of the above
Vaccination
*
If you are given an opportunity to be vaccinated, will you choose to be vaccinated?
Yes
No
Unsure
Vaccination Concerns
What are your reservations towards vaccination? Click all that apply.
Safety Concerns
Side Effects
Unnecessary
I’m young and healthy
Vaccine Choice
I’m allergic
I’m pregnant
Others: please elaborate
Other Concerns
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