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  • Pitt State Vaccine Waiver Form

Get Pitt State Vaccine Waiver Form

I have read and voluntarily signed this document with full knowledge of its significance. I further state that I am at least 18 years of age and competent to sign this waiver. Student Signature: Date: Signature of Parent/Guardian if student is under 18 years of age: Signature: Date: Name of Parent/Guardian if student is under 18 years of age: (please prin.

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How to fill out the Pitt State Vaccine Waiver Form online

Registering for a vaccine waiver is a significant step for students at Pitt State. This guide will provide you with clear instructions on how to properly fill out the Pitt State Vaccine Waiver Form online, ensuring that you understand each section thoroughly.

Follow the steps to complete the form accurately and efficiently.

  1. Click the ‘Get Form’ button to access the Pitt State Vaccine Waiver Form and open it in your online editor.
  2. Begin by entering your full name in the provided space. This ensures that your information is correctly attributed to the form.
  3. Next, locate the field for your PeopleSoft number. Input your unique identifier to link the waiver to your student account.
  4. Fill in your home address accurately. This information must be complete to ensure communication regarding your waiver.
  5. Carefully read the disclosure statement regarding the significance of the waiver. Acknowledge your understanding by signing the document.
  6. If you are at least 18 years old, sign his or her name in the designated 'Student Signature' area and date the signature.
  7. If you are under 18, a parent or guardian must sign in the provided space, stating their name and date of signature.
  8. Read the section about the meningococcal vaccine requirements thoroughly. Select one of the options provided to indicate your vaccination status.
  9. Review the waiver language to ensure you comprehend the implications of not receiving the vaccination.
  10. Once all fields are completed, save your changes. You can then download, print, and share the form as necessary.

Complete your documents online today to ensure your compliance with vaccination requirements.

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Students: The policy requires all undergraduate, graduate and professional students to be vaccinated against COVID-19, along with measles, mumps, rubella and chickenpox, unless they are enrolled solely in online programs.

The University of Pittsburgh requires that all affiliates on all campuses be vaccinated against COVID-19 or have an approved exemption.

All incoming students born after 1956 must have TWO doses of: MMR vaccine OR live rubeola vaccine. The first dose of vaccine must be administered at 12 months of age or older. The second dose of vaccine must be administered at least one month after the initial dose.

All incoming Penn College students are required to meet the CDC and American College Health Association immunization guidelines prior to starting classes. (Penn College Health Services provides immunizations on a fee-for-service basis.)

Importantly, while the University is not currently requiring vaccinations for students, Penn State is not impartial when it comes to getting vaccinated. The University's stance is that everyone who can get a vaccine should do so as soon as possible to attain high vaccination rates on all Penn State campuses.

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