Non-medical Vaccination Exemption Request

Spring 2022 Non-medical COVID-19 Vaccination Exemption Request (1)

Immunization exemptions will be permitted under certain circumstances. Students seeking a non-medical COVID-19 vaccination exemption based on a sincerely held religious belief, must complete this form and include a statement detailing the reason for your request. Non-medical COVID-19 vaccination exemption requests will be evaluated on a case-by-case basis. Students who receive a non-medical COVID-19 vaccination exemption may be subject to exclusion from campus in the event of a vaccine preventable disease outbreak and may be required to take other health and safety measures including, but not limited to, participation in surveillance testing, quarantine, and mask-wearing. Non-medical exemption requests will be evaluated on a case-by-case basis. Students who receive a non-medical exemption may be subject to exclusion from campus in the event of a vaccine preventable disease outbreak and may be required to take other health and safety measures including, but not limited to, participation in surveillance testing, quarantine, and mask-wearing.

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