Northern Vermont University

Proof of COVID-19 Vaccination

Student Information

Your Name*
What is your home NVU campus?*

Proof of Vaccination

Did you report your vaccination status to NVU in Fall 2021?*
Are you fully vaccinated?*
Which initial vaccine did you receive?*
Date of first vaccination (or the one shot J&J)*
Date of second vaccination*

Full vaccination is required by the Vermont State Colleges System residential colleges.

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