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Student COVID-19 Vaccination Status

Required

Student Namerequired
Legal First Name
Legal Last Name
Must contain a date in M/D/YYYY format
Vaccination Statusrequired
A person is considered fully vaccinated two weeks after receiving the second dose of the Pfizer or Moderna vaccine or a single dose of the Johnson and Johnson vaccine. 
Submitted byrequired
First Name
Last Name
 
This information will be held in confidence and used only in the event decisions need to be made about quarantine or isolation.