COVID-19 Vaccination forms


The quad in fall with a banner reading

Saint Mary's University requires students, faculty and staff to provide proof of vaccination by October 15, 2021.

Students

To provide proof of vaccination, please use the following secure submission form. You will provide your proof of vaccination as a digital file (PDF, PNG or JPEG).

Exemption

To request an exemption for medical or religious reasons, please fill out the following Vaccine Exemption Form and submit it electronically.

  1. Vaccine Exemption Form (Fillable PDF)
    Download this form, fill it out and save it.
  2. Vaccine exemption submission form for students
    Submit the completed exemption form from step 1. Log in using your S# and then provide your A# to identify yourself.

Faculty and staff

To provide proof of vaccination, please use the following secure submission form. You will provide your proof of vaccination as a digital file (PDF, PNG or JPEG).

Exemption

To request an exemption for medical or religious reasons, please fill out the following Vaccine Exemption Form and submit it electronically.

  1. Vaccine Exemption Form (Fillable PDF)
    Download this form, fill it out and save it.
  2. Vaccine exemption submission form for faculty and staff
    Submit the exemption form from step 1. Log in using your S# and then provide your A# to identify yourself.
Share: Page Feedback