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Molloy College Meningitis Response Form 2016-2025 free printable template

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STUDENT HEALTH SERVICES 1000 Hempstead Ave. Kellenberg Bldg. Rm 310 Rockville Centre NY 11571-5002 Phone 516-323-3467 Fax 516-323-3476 COMMUTER STUDENTS ONLY Meningococcal Vaccination Response Form New York State Public Health Law requires that all enrolled college students complete and return this Meningitis Response form to Molloy College Student Health Services. Check one and sign below I have or for students under the age of 18 My child has had the meningococcal meningitis immunization...
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How to fill out Molloy College Meningitis Response Form

01
Obtain the Molloy College Meningitis Response Form from the official Molloy College website or admissions office.
02
Read the instructions carefully to understand what information is required.
03
Fill in the personal details section, including your full name, date of birth, and contact information.
04
Indicate your vaccination status by selecting the appropriate option: either vaccinated, not vaccinated, or an exemption.
05
If you are vaccinated, provide the date of the vaccination and the name of the vaccine received.
06
If seeking an exemption, provide the reason for the exemption clearly in the designated section.
07
Review all filled information for accuracy and completeness.
08
Sign and date the form to certify that the information provided is accurate.
09
Submit the completed form to the appropriate office at Molloy College, either in person or through the specified electronic means.

Who needs Molloy College Meningitis Response Form?

01
All incoming students to Molloy College who are living on campus.
02
Students transferring to Molloy College who are not currently vaccinated.
03
Students enrolled in specific programs that require compliance with health regulations.
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Vaccination Requirements Molloy University requires all students and employees, except those with approved medical or religious exemptions, to receive the primary vaccine series for Covid-19. Students and employees must submit proof of vaccination to the Molloy Health Portal before the start of the semester.
The change takes effect on June 1, 2022, after graduation of the Class of 2022 on May 24. “We've had the academic scope and breadth of a university for years – this makes it official,” said Dr. James P. Lentini, President of Molloy.
Molloy University is a private Roman Catholic university in Rockville Centre, New York.Molloy University. Former namesMolloy Catholic College (1955–1971) Molloy College (1971–2022)TypePrivate universityEstablished1955Religious affiliationRoman Catholic (Dominican)Endowment$43.6 million (2020)11 more rows
Male/Female Breakdown of Undergraduates The full-time Molloy undergraduate population is made up of 72% women, and 28% men.
In 1971 its name was changed to Molloy College. In 1972 it began accepting men into the nursing program and in 1982 became fully coeducational.
Established as a Catholic women's college with academic programs focused on service-oriented professions such as Nursing and Education, today Molloy, steeped in its Dominican heritage, welcomes a multi-denominational student body and offers bachelors, masters, post-graduate certificates, and doctoral programs in

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The Molloy College Meningitis Response Form is a document that collects information regarding a student's vaccination status against meningitis.
All new students, including incoming freshmen and transfer students, are required to file the Molloy College Meningitis Response Form.
To fill out the form, students should provide their personal details, vaccination history, and any necessary documentation as specified by the college guidelines.
The purpose of the Molloy College Meningitis Response Form is to ensure that the college is aware of students' vaccination status and to promote student health and safety.
The form must report personal information such as name, date of birth, vaccination dates, and whether the student has received the meningitis vaccination.
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