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Documents

Invitation to New Students Induction

Medical Emergencies Poster
Health questionnaire (to be returned)
Data Protection Form (to be returned)
Equal Opportunity Monitoring form (to be
returned)
Doctor Registration Form (to be returned)
University NHS Dental Service information
Clare Hall Meal arrangements
Clare Hall Bedding Order form (to be returned if
required)

CLARE HALL
HERSCHEL ROAD CAMBRIDGE CB3
9AL
From the Senior Tutor
Dr Iain Black

You are invited to the

NEW STUDENTS INDUCTION

at 11am
in the College Dining Room
on

Sunday 5th October 2014

followed by a
BUFFET LUNCH
Dress Informal
Partners and families are also welcome.

PUT THIS ON YOUR ROOM NOTICE BOARD

MEDICAL EMERGENCIES
If the condition is life-threatening
dial:

999

The nearest Accident and Emergency

Department is at Addenbrooke's Hospital,
Hills Road, Cambridge
If not life-threatening, but needs attention very
quickly, dial:

CAMDOC 01 223 464242

from 6pm - 8am weekdays and from 6pm on Friday
to 8am the following Monday and all public
holidays.
CAMDOC is NOT for routine conditions or
repeat prescriptions or any treatment that can
await normal surgery hours.

Self harm

SAMARITANS - 08457 90 90 90

NHS general medical 24-hour helpline

111
www.nhsdirect.nhs.uk
If the problem can wait until the next day, please make an
appointment with your GP when the surgery is open.

CLARE HALL
HERSCHEL ROAD CAMBRIDGE CB3 9AL

From the Senior Tutor

Dr Iain Black

NAME: _____________________

Student Health Form

The information you provide on this questionnaire is separate from any you may supply to your
General Practitioner (Doctor) and will assist me in offering you the support you may need whilst you
are resident in Cambridge. If you suffer from a severe allergy and carry medication, we advise that the
information in section 3 be made available to others for your protection. This would be done with your
permission. All other information will be kept confidential.

Please return this form to the Senior Tutor, Dr Iain Black, in an envelope marked
Private & Confidential.
If you are already returning other completed forms to the Tutorial Office, you may also
include your sealed envelope in the same mailing and it will be passed to the Senior Tutor.
1. Personal Medical History
Please list any serious or chronic illnesses, operations or disabilities, giving the year it occurred.
Pease use the back of this form if necessary.
Have you ever had any of the following: Anxiety/Depression
YE
S
Asthma
YE
S
Diabetes
YE
S

NO

Eating disorder

YES

NO

NO

Epilepsy

YES

NO

NO

Heart Disease

YES

NO

2. Current Treatment
Are you Are you currently receiving hospital or drug treatment for any medical
condition?
(If Yes please give details on the back of this form)
3. Allergies
Are you allergic to any medicines or to foods or other substances?
If YES please state which:
Have you been seen by a specialist for your allergy and received,
i)
advice on avoidance?
ii)
advice on management of a reaction?
iii)
written emergency treatment plan?
Do you carry adrenaline (epinephrine) or any other medication for emergency
administration?

YES

NO

YES

NO

YES
YES
YES
YES

NO
NO
NO
NO

4. Vaccinations:
Please read the information sheet emailed on admission and check that all
vaccinations are up to date.
IT IS RECOMMENDED THAT YOU HAVE RECEIVED MENINGITIS C; AND MMR (2 DOSES),
BEFORE COMING TO THE UNIVERSITY.
Meningitis: Have you had Meningitis C vaccination?
YES
NO
Mumps: Have you had MMR vaccination (2 doses)?
YES
NO
TB:
Have you been vaccinated?
YES
NO
DIPHTHERIA: Have you been vaccinated?
YES
NO
POLIO: Have you been vaccinated?
YES
NO
TETANUS
Have you been vaccinated?
YES
NO
5.

Any other relevant information (Please use the back of this form if necessary)
FAMILY NAME:
Signed:
(IN CAPITALS) ...
...................................................

Male/Female ( please circle)

FIRST NAME:
..

.
(IN CAPITALS)

Date of
Birth: ..................................................

TELEPHONE: ....
DATE: .....................

CLARE HALL
HERSCHEL ROAD, CAMBRIDGE CB3
9AL
From the Senior Tutor
Dr Iain Black
E-mail: isb26@cam.ac.uk
332365

Tel: 01223

To all Graduate Students of Clare Hall

DATA PROTECTION ACT: GRADUATE STUDENTS PERSONAL INFORMATION
The College holds certain information on Graduate Students, which is central to its function, and it takes steps to
ensure that such information is afforded the protection required by the Data Protection Act 1998. However,
there is information, for example that contained in the College List, which has hitherto been freely available to
all College members. This information comprises ones status within the College, partners name, degree,
faculty or department, home address, email address and country of origin. To date, no Graduate Student has
objected to this information being available within the College; however, under the terms of the Act, we now
need confirmation that Graduate Students are content for this arrangement to continue.
A more sensitive issue is the divulgence of such information to individuals or organisations outside the College.
At the least contentious end of the spectrum, there is the casual caller seeking to contact a student and asking
for a telephone number or email address. The safest response to any such approach is to take the callers
telephone number and arrange for the student to return the call. However, this will lead to inevitable delays
and could perhaps seem like overkill for apparently innocent calls from within the University. At the other end of
the spectrum, there is the question of whether Graduate Students would be content with all or some of the
College list information being contained in or linked to the Colleges web site.
There are therefore a range of options and authorities, which we have summarised below, and we would ask
that each student takes a few minutes to indicate their responses to the specific questions listed.
Iain Black, Senior Tutor

Name
___________________________
Data Protection Act: Graduate Students Personal Information
Please answer the following questions and return this form to the Tutorial Secretary.
1 Do you agree that the College may continue to include your personal details in the College
list as at present? This list is available to all members of the college including students.
Yes/No
2.
Are you content for the College staff to use their discretion in releasing
personal information to people or organisations who ring to request them without
first consulting you?
Status within the College
Yes/No
Partners name
Yes/No
Department/Faculty
Yes/No
Home telephone number
Yes/No
Home address
Yes/No
Mobile telephone number
Yes/No
Department/Faculty telephone number
Yes/No
Email address
Yes/No
3
Do you consent to Clare Hall displaying your named photograph and
department/faculty in the corridor near the college office?
Yes/No
4 Do you consent to Clare Hall displaying your named photograph and
department/faculty on the Colleges web site?
Yes/No
5 Occasionally, photographs are taken at college events, which may be published in the
colleges Review newsletter, on the College website or in other College publications. Do you
consent to such photos in which you, or your children (if any), may appear, being
used for these purposes? Yes/No

Any further comments?

Signed

_____________________________

Date ____________________

CLARE HALL
HERSCHEL ROAD, CAMBRIDGE CB3
9AL
Name
____________________
EQUAL OPPORTUNITY MONITORING GRADUATE STUDENTS
Clare Hall is committed to providing equality of opportunity. The aim of our policy is to
ensure that
no graduate student receives less favourable treatment on the grounds of race, colour,
creed, nationality, ethnic or national origin, religious belief, political opinion or affiliation, sex
(including gender reassignment), marital status, sexual orientation or disability, or is
disadvantaged by conditions or requirements which cannot be shown to be justifiable.
We aim to ensure that all graduate students are given equal opportunity. We are committed
to an ongoing programme of action to make this policy fully effective. To ensure that this
policy is fully and fairly implemented and monitored, and for no other reason, would you
please provide the following information:-

___________________________________________________________________
I would describe my ethnic origin, nationality and sex as:- (please tick)
Not specified
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Chinese or other Ethnic Background Chinese
Information refused
Mixed - White and Asian
Other Asian Background
Other Ethnic Background
Other Mixed Background
Other White Background
White - British
White - Irish
Male
Female
Other
Not specified
Nationality

__________________________

SIGNED (optional)

_____________________________________

NAME (optional)

_____________________________________

DATE

_____________________________________

You do not have to complete this form but we hope that you will do so, and return it to the
Tutorial Office.

CLARE HALL
HERSCHEL ROAD, CAMBRIDGE CB3
9AL

CONFIDENTIAL

Name: ________________________

DOCTOR REGISTRATION
You must register with a General Practitioner whilst you are in Cambridge, even if
you are registered elsewhere in the UK. Students who are resident and
registered on courses lasting six months or longer are entitled to the National
Health Service, but failure to register at the start of your course may mean
that fees might be charged should you need any medical treatment.
List of General Practitioners:
Wordsworth Grove, off Sidgwick Avenue (tel. 3668ll)
http://www.newnhamwalksurgery.nhs.uk/
28 Petty Curry/65-67 Sidney Street (first floor of Boots) (tel. 3668ll)
http://www.newnhamwalksurgery.nhs.uk/
48 Lensfield Road
www.lensfieldpractice.org/index.php

(tel. 352779/353397)

364 Cherry Hinton Road

www.cornfordhouse.org

(tel. 247505)

56 Trumpington Street
(tel. 36l6ll)
www.trumpingtonstreetmedicalpractice.co.uk
Bridge St Surgery, 2 All Saints Passage
www.bridgestreetmedicalcentre.com
28l Mill Road
www.millroadsurgery.co.uk
l Huntingdon Road
www.huntingdonroadsurgery.co.uk

(tel. 0844 477 3939)

(tel. 2478l2)
(tel. 364l27)

UK students should bring their NHS card with them. It is useful for all students to
bring any immunisation records with you. The nearby Newnham Walk
Surgery has expressed a willingness to register Clare Hall residents.
Please write in the space below your GP registration and return the form
to the Tutorial Office
by 31st
October:
(insert name
of doctor
and surgery)

UNIVERSITY OF CAMBRIDGE Dental Practice

3 TRUMPINGTON STREET
CAMBRIDGE CB2 1QA
Tel: 01223 332 860

NHS DENTAL TREATMENT FEES

The University of Cambridge Dental Practice provides NHS dental treatment for
undergraduate and postgraduate students of Cambridge University. There are
charges for NHS dental services for the majority of patients, although these are
lower than charges for private dental work. Many dental surgeries offer both types
of services.
Patients Charges for NHS Dental Treatment
If you pay for NHS dental treatment, there are three standard charges, the amount
you pay depends on the treatment you might need to keep your teeth and gums
healthy.
All charges apply to an overall course of treatment, and not the individual items
within the course of treatment. You will only pay one char ge for each course of
treatment, even if you need to visit your dentist more than once to finish it. If you
need more treatment within the same charge band (for example, an additional
filling) within two months of completing a course of treatment, you do not have to
pay anything extra.
If you are not exempt from charges, you should pay one of the following rates for
each course of treatment you receive:
Charge bands:

Band 1: 18.50 covers an examination, diagnosis and advice. If necessary, it

also includes X-rays, a scale and polish and planning for further treatment.

Band 2: 50.50 covers all treatment covered by Band 1, plus additional

treatment, such as fillings, root canal treatment and removing teeth
(extractions).

Band 3: 219 covers all treatment covered by Bands 1 and 2, plus more
complex procedures, such as crowns, dentures and bridges.

PRIVATE (NON NHS) DENTAL CHARGES AND

ARRANGEMENTS ARE AVAILABLE ON REQUEST TO THE
DENTAL SERVICE

CLARE HALL MEAL ARRANGEMENTS

We hope that students will take part in College meals in the Dining Room as much as possible.
Fellows, students and staff eat together, and in order to foster a sense of community and encourage all
members of the College to meet together, we suggest that vacant places at a table should be filled
before starting a new one. Lunch and supper are served during the week. No breakfast is served in
College and there are no meals at weekends (but see Robinson College below). Vegetarian, gluten free
and wheat free meals are indicated on the menu, which is on the College website
www.clarehall.cam.ac.uk and displayed in the Dining Room. There is no compulsory fixed kitchen
charge. The kitchens are closed between Christmas and New Year and for a week in August.
Booking The college operates a cashless system for meals, bar and purchases with electronic point of
sales tills utilising your University ID card. Cards should be pre-loaded with cash (detailed information
on how to do this is in a separate information pack) and will be swiped at the point of sale. A provision
will be made on your account for your terms allowance of 8 free meals. Booking is not required for
lunch or suppers. For Formal Wednesday Dinner booking must be done by 2pm on the
previous day by emailing kitchen@clarehall.cam.ac.uk or by clearly listing your name the sheet in
the Dining Room.
Bars The main College bar is open each weekday at lunch times from 12.45pm - 1.30pm and in the
evenings when there is a Formal Dinner, and as required. There are a vending machine in the entrance
hall of the Anthony Low Building providing soft drinks, bottled water, crisps and confectionery. A hot
drinks machine is located near the student pigeonholes. The Anthony Low Building Bar is run by the
Graduate Student Body and is open on most evenings.
Breakfast and Weekend meals No breakfast or weekend meals are served in college. Robinson
College (opposite Clare Hall) welcome members of Clare Hall to use their catering facilities at times
(apart from their summer conference season) when the Clare Hall kitchen is not open. There is no need
to book. Please tell the Robinson cashier that you are a member of Clare Hall. You will be charged
Non-Member
prices
but
there
is
no
Guest
Charge
applicable.
Please
see
www.robinson.cam.ac.uk/catering/cafeteria
Children in the Dining Room Formal Dinner is not suitable for children under 14 years of age, but
they are very welcome at regular lunch and supper.
Complimentary Meals for Students Whilst paying fees, students are entitled to 8 complimentary
Thursday suppers per FULL TERM but not during the long vacation (see p4 for dates). Your entitlement
can be used at the Formal Wednesday dinner evenings but these dinners will count as two suppers,
and wine or soft drinks taken at the Formal Dinner are not included in this arrangement.
Meal
privileges are related to the completion of nine terms fee payment. You may not use your free meals
allowance for partners or guests.
Guests may be brought to any meal, and the number should be recorded on the sheet against the
name of their host. There is a maximum number of 3 guests per graduate student unless you have
made alternative arrangements with the Chef Manager or Bursar. Payment must be made promptly at
the end of each month when bills are issued. It is not possible to use your complimentary meals
allowance for guests (see below).
Kitchen Closure Dates 2014/15 The Kitchens will be closed for short periods over the Christmas and
Easter staff breaks and for a week of maintenance and special cleaning in August. Dates will be
announced in good time beforehand.
Meal Times: Lunch is served 1.00 - 1.45 pm. The dining room should be vacated by 2.00 pm
after lunch to assist staff in clearing up. Supper is served 6pm - 7.30 pm. No booking is required
for lunch or supper. Tea and coffee are available in the Common Room after meals.
Prices for Graduate Students, their partners and guests
Lunch/Supper (3 courses and coffee) 6.00
Pippard Lunch 3.50
Formal Dinner, inc. wine or soft drink 14.50
Feast (inc wine or soft drink) 30.
Wednesday Formal Dinner 7.30 pm. Please book on the sheet in the Dining Hall by 2.00 pm on
the previous day, or by email to kitchen@clarehall.cam.ac.uk. Formal Dinner is a relatively formal
occasion, though not black tie, but academic gowns are not worn. Please allow guests and their hosts
to enter the dining room first on these evenings. Although partners may wish to sit together at meals,
please note that the corporate life of the College may be enhanced by more intermingling to promote
the exchange of different viewpoints.

Wine The College has a well-established wine cellar and a list is produced each term. Order forms
are on the stand in the lobby and should be handed to the College Secretary. The Wine Steward is
happy to give advice.

CLARE HALL, CAMBRIDGE, CB3 9AL

From: The Housekeeper
Tel:
Fax:

01223 332360
01223 332333

Our Ref: HO1/01

Your Ref:

BEDDING ORDER FORM

The College does not provide individual bedding or towels with the exception of a mattress
cover. You will need to bring duvets, sheets and towels etc with you when you
arrive. If you do not wish to bring your own bedding, you can buy new or secondhand
bedding from the College using the form below. You can also buy new bedding from stores
and supermarkets in Cambridge on arrival if you prefer.
1. We have new SINGLE BED student packs available consisting of:
1
1
1
1
1

Duvet (10.5 tog) for 3 ft wide bed

Duvet Cover (printed poly/cotton)
Pillow
Pillowcover (printed poly/cotton)
Fitted Sheet (printed poly/cotton)

The cost of this pack is 30.00.

2. There are also some sets with washed but not new duvets insets at the reduced cost
of
20.00.
If you wish to purchase linen from the College please return the form or email the Tutorial
Office, Clare Hall, Herschel Road, Cambridge CB3 9AL, as soon as possible.

Email:

Tutorial.secretary@clarehall.cam.ac.uk

The Tutorial Office

Clare Hall
Herschel Road
Cambridge CB3 9AL

BEDDING ORDER FORM

I would like to purchase a new student pack.

I would like to purchase a secondhand student pack.
Please charge to my College bill.

Arrival Date __________________

Name _________________________