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Immunization Form

The Immunization Form requirement excludes students who are in degree programs that will only meet online like M.Ed. in Educational Administration/Adult and Higher Ed, M.Ed. in Technology, M.Ed. in Technology & Customized Learning, and Ed.D. Doctorate in Leadership. Those degree program students who have a combination of course delivery formats must submit immunization information.

Exemption form measles, mumps, rubella (MMR) vaccination (A student must legibly check the applicable box on the form):

  • Birth Exemption (born prior to Jan 1, 1957
  • Taking online course only
  • Taking professional Development Workshop
  • Have attended SD university prior to July 1, 2008
  • Medical Exemption
  • Religious Exemption

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Official Name Change Form

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Employer Paid Reimbursement/Deferment