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  • Governors State University Immunization Exemption Form 2018

Get Governors State University Immunization Exemption Form 2018-2026

(last, first, middle) Date of Birth (mm/dd/yyyy): GSU Student ID number: Phone number: Date of request: Reason for Request: Exemption* Exclusively attend classes at an off-site location. Exemption* Enrolled exclusively in an online degree program. Note: A new Exemption Form, sign.

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How to fill out the Governors State University Immunization Exemption Form online

Filling out the Governors State University Immunization Exemption Form online is a straightforward process designed to help students request an exemption from immunization requirements. This guide provides step-by-step instructions for each section of the form to ensure a smooth submission experience.

Follow the steps to complete the immunization exemption form effectively.

  1. Press the ‘Get Form’ button to obtain and open the Governors State University Immunization Exemption Form for your completion.
  2. Fill in your name in the designated field, ensuring to include your last name, first name, and middle name as applicable.
  3. Input your date of birth in the specified format (mm/dd/yyyy) to provide accurate identification.
  4. Enter your GSU student ID number in the corresponding section to link the request to your student records.
  5. Provide your phone number so the registrar’s office can reach you if further information is needed.
  6. Indicate the date of your request. It's essential to document when you submitted the form.
  7. Select the reason for your exemption by checking the appropriate box: either that you exclusively attend classes at an off-site location or are enrolled exclusively in an online degree program.
  8. Ensure your advisor signs the form in the designated area, confirming that you have their support in seeking this exemption. They should also include the date next to their signature.
  9. Finally, sign and date the form to certify your request for an exemption.
  10. Once you have completed the form, save your changes. You can then download, print, or share the form as necessary before submitting it.

Complete your immunization exemption form online today to ensure timely processing.

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