Proof of Full Vaccination or Medical Exemption This form is for the submission of complete COVID-19 vaccine status or proof of medical exemption only. Please do not submit this form until: a) For those submitting proof of complete COVID-19 vaccination: You have received either one dose of a one-step vaccine or both doses of a two-step vaccine, or b) For those submitting a medical exemption: You are able to provide a written statement from a physician (MD) or nurse practitioner (NP) outlining that you are exempt from receiving a COVID-19 vaccination at this time for medical reasons. Please note: a) For those submitting proof of complete COVID-19 vaccination: You are not considered fully vaccinated until 14 days have passed since your final dose of vaccination. You are required to complete Rapid Antigen Testing as per the Interim Vaccination Policy for the 14 days following your final dose of vaccine. b) For those submitting a medical exemption: An approved medical exemption releases you from the requirement of completing the COVID-19 Education Module only. You are still required to complete Rapid Antigen Testing as per the Interim Vaccination Policy. Name(Required) First Last Email(Required) Phone(Required)I am a(Required) Residence student Commuter student Employee Other Student or employee number(Required) Proof of Full Vaccination or Medical Exemption(Required)Please provide a scan, photo or PDF version of your record(s). Drop files here or Select files Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 10 MB, Max. files: 2.