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Student Immunization Form PART I: STUDENT INFORMATION Last name First name Date of birth NYIT ID Semester attending Email Campus Old Westbury Manhattan Central Islip PART II: MENINGOCOCCAL MENINGITIS.

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This includes students in undergraduate, graduate, professional, non-credit, and non-degree programs. NYU also requires that all students upload proof of all vaccinations and have that proof verified by NYU.

Proof of immunity to Measles, Mumps, Rubella (MMR) and a response to the status of Meningococcal Meningitis vaccination are required of all new incoming students. You are NOT permitted to register for classes without proof of immunization.

New York State (NYS) Public Health Law Section 2164 and New York Codes, Rules and Regulations (NYCRR) Title 10, Subpart 66-1 require every student entering or attending public, private or parochial school in New York State (NYS) to be immune to diphtheria, tetanus, pertussis, measles, mumps, rubella, poliomyelitis, ...

All students in childcare through grade 12 must meet the requirements for: • The DTaP (diphtheria-tetanus-pertussis), poliovirus, MMR (measles-mumps-rubella), varicella and hepatitis B vaccines.

One dose of meningococcal vaccine is required for students who will be in 7th, 8th, 9th, or 10th grade. If your child had the first dose before 7th grade, then another dose is not required until 12th grade. Two doses will be required before 12th grade.

Vaccines required for day care, pre-K, and school attendance Diphtheria and Tetanus toxoid-containing vaccine and Pertussis vaccine (DTaP or Tdap) Hepatitis B vaccine. Measles, Mumps and Rubella vaccine (MMR) Polio vaccine. Varicella (Chickenpox) vaccine.

While we are off campus please submit these forms and your proof of vaccinations through the secure document upload link on CUNYFirst. For more information, please email us at Admissions@citytech.cuny.edu or call us at 718-260-5500.

Additional information is also available on the following websites: TO SUBMIT IMMUNIZATION RECORDS: Mail to: College of Staten Island, Health & Wellness Services, 2800 Victory Blvd., Staten Island, NY 10314. Fax to: 718.982.2966. Email: HealthCenter@csi.cuny.edu.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232