
(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.
- Click ‘Get Form’ button to obtain the form and open it in your chosen format.
- Begin by entering your name in the designated fields, including your last name, first name, and middle name.
- Next, input your date of birth in the format of month/day/year (mm/dd/yyyy).
- Provide your GSU Student ID number to assist with identification.
- Fill in your phone number for any follow-up inquiries.
- State the date on which you are making the request for the exemption.
- Select the reason for your request by checking the appropriate exemption box, and ensure that you include your date of birth if applicable.
- Review all the information for accuracy before signing your name and dating the signature section.
- 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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