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How do I fill this out?
To fill out this form, begin by providing your personal information in Part 1. Next, ensure to document your vaccination history accurately. Finally, submit this form along with any required documentation to the Student Repository.
How to fill out the CUNY Immunization Record Instructions - College?
1
Provide your personal information in Part 1.
2
Complete your vaccination history in Part 2.
3
Check that all information is accurate and complete.
4
Obtain necessary signatures, if applicable.
5
Submit the completed form to the designated repository.
Who needs the CUNY Immunization Record Instructions - College?
1
New students entering CUNY who require proof of immunization.
2
International students needing to fulfill vaccination requirements.
3
Transfer students from other colleges requiring updated immunization records.
4
Students seeking to enroll in health-related programs at CUNY.
5
Students re-enrolling at CUNY after a break in studies.
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Upload the PDF you wish to edit.
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Use the editing tools to make changes as needed.
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Once satisfied, save the edited document.
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Download your finalized PDF for submission.
What are the instructions for submitting this form?
To submit this form, you may require physical delivery, fax, or online upload to the CUNY Student Repository. If submitting via fax, use the number 718.260.5504. For physical submissions, please send to 300 Jay Street, Brooklyn, NY 11201-1909. Ensure all information is complete and accurate before submission.
What are the important dates for this form in 2024 and 2025?
Important dates for submission include early registration deadlines and health compliance requisites before the start of the semester in 2024 and 2025. Ensure to check the academic calendar for specific dates that may be relevant to your enrollment. Keep in mind that submission is required for timely registration.
What is the purpose of this form?
The purpose of this form is to collect necessary immunization records from students enrolling in CUNY. It ensures compliance with New York State laws regarding vaccinations against measles, mumps, and rubella. Proper submission of this form facilitates student registration and maintains health standards on campus.
Tell me about this form and its components and fields line-by-line.
- 1. Student Information: Includes personal details such as name, CUNY ID, date of birth, and contact information.
- 2. Immunization History: Documents vaccinations received, including dates and types.
- 3. Meningococcal Vaccination Response: Requires student or guardian acknowledgment regarding meningococcal vaccination.
- 4. Health Care Provider Information: Space for the provider's name, address, and signature.
What happens if I fail to submit this form?
Failing to submit the immunization record can impede your registration process at CUNY. Students may be barred from attending classes until the documentation is provided. It's imperative for compliance with state regulations to avoid any disruptions.
- Registration Delays: Without proper documentation, you may not be able to register for courses.
- Inability to Attend Classes: Failure to submit the form may lead to exclusion from classes.
- Potential Fines or Fees: Non-compliance might incur additional fees or penalties.
How do I know when to use this form?
- 1. For New Enrollees: New students entering CUNY will need to submit proof of immunization.
- 2. For Transfer Students: Students transferring from other institutions must provide their vaccination history.
- 3. For Program-Specific Requirements: Certain programs at CUNY will necessitate this documentation.
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