Governors State University Immunization Exemption Form 2018-2026 free printable template

Registrars OfficeImmunization EXEMPTION Form1 University Parkway University Park, IL 60484 708.235.7154 Fax: 708.534.1640 www.govst.edu/immunizationsName: (last, first, middle) Date of Birth (mm/dd/YYY):

How to fill out Governors State University Immunization Exemption Form

How to fill out Governors State University Immunization Exemption Form

1. Obtain the Governors State University Immunization Exemption Form from the university's website or admissions office.
2. Read the instructions carefully to understand what information is required.
3. Fill in your personal details including your full name, student ID, and contact information.
4. Indicate the specific reason for requesting the exemption, providing any necessary documentation to support your case.
5. Sign the form to validate the request and date it accordingly.
6. Submit the completed form through the designated method outlined by the university, such as via email or in person.

Who needs Governors State University Immunization Exemption Form?

1. Students who are unable to receive vaccinations due to medical, religious, or philosophical reasons.
2. Individuals seeking enrollment at Governors State University who need to comply with immunization requirements but are requesting exemptions.

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What is Governors State University Immunization Exemption Form?

The Governors State University Immunization Exemption Form is a document that allows students to formally request an exemption from vaccination requirements based on medical, religious, or personal beliefs.

Who is required to file Governors State University Immunization Exemption Form?

Students who wish to opt-out of required immunizations due to medical, religious, or personal reasons must file the Governors State University Immunization Exemption Form.

How to fill out Governors State University Immunization Exemption Form?

To fill out the form, students must provide their personal information, select the reason for the exemption, and possibly include supporting documentation based on their selected exemption category.

What is the purpose of Governors State University Immunization Exemption Form?

The purpose of the form is to allow students to declare their intention to exempt themselves from vaccination requirements while ensuring that the university maintains accurate health records and complies with health regulations.

What information must be reported on Governors State University Immunization Exemption Form?

The form typically requires students to report their name, student ID, contact information, the specific vaccinations from which they are seeking exemption, and the reason for the exemption.