Get the free Immunization EXEMPTION Form - Governors State University - govst

Academic Resource Center Immunization EXEMPTION Form 1 University Parkway University Park, IL 60484 708.534.4090 Fax: 708.235.3961 www.govst.edu/immunizations Name: (last, first, middle) Date of Birth

How to fill out 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 health services website or office.
2. Read the instructions carefully to understand the eligibility criteria for exemption.
3. Fill out the personal information section, including your name, student ID, and contact information.
4. Select the reason for your exemption from the available options (e.g., medical, religious, personal beliefs).
5. If applicable, attach any required documentation supporting your exemption request, such as a doctor's note or a religious statement.
6. Ensure that the form is signed and dated before submission.
7. Submit the completed form to the appropriate office, either in person or electronically, by the designated deadline.

Who needs Governors State University Immunization Exemption Form?

1. Students who are unable to meet the immunization requirements due to medical, religious, or personal beliefs.
2. Incoming students who have been informed about vaccination requirements and wish to seek an exemption.
3. Current students who experience a change in circumstances that warrants an exemption.

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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 request an exemption from mandatory immunization requirements based on specific criteria, such as medical, religious, or philosophical reasons.

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

Students who are unable to meet the immunization requirements due to medical, religious, or philosophical reasons are required to 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, specify the reason for exemption, and may need to attach supporting documentation, if required, before submitting it to the appropriate university office.

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

The purpose of the form is to ensure that students who cannot receive certain immunizations for valid reasons are exempted while still complying with university health policies.

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 immunizations for which they are seeking an exemption, and a detailed explanation of their reasons for the exemption.