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  • Governors State University Immunization Exemption Form 2014

Get Governors State University Immunization Exemption Form 2014

(last, first, middle) Date of Birth (mm/dd/yyy): GSU Student ID number: Phone number: Date of request: Reason for Request: Exemption - Date of Birth: Born on or before January 1, 1957. Exemption - Exclusively attend classes at an off-site location (e.g., Naperville, Triton, etc.). Exemp.

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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 that requires attention to detail. This guide will provide you with step-by-step instructions to ensure your submission is accurate and timely.

Follow the steps to fill out your exemption form correctly.

  1. Click ‘Get Form’ button to obtain the form and open it in your chosen format.
  2. Begin by entering your name in the designated fields, including your last name, first name, and middle name.
  3. Next, input your date of birth in the format of month/day/year (mm/dd/yyyy).
  4. Provide your GSU Student ID number to assist with identification.
  5. Fill in your phone number for any follow-up inquiries.
  6. State the date on which you are making the request for the exemption.
  7. Select the reason for your request by checking the appropriate exemption box, and ensure that you include your date of birth if applicable.
  8. Review all the information for accuracy before signing your name and dating the signature section.
  9. Once you have completed the form, save your changes, and choose to download, print, or share the document as required.

Complete your exemption form online today to facilitate a smooth submission process.

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Governors State University Immunization Exemption Form
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