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Statement of Immunization Exemption - Millersville University - millersville 2026

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The document is a Statement of Immunization Exemption for Millersville University, outlining the required immunizations and the process for students to request exemptions based on medical or religious reasons. It specifies that unvaccinated students may face restrictions during disease outbreaks and requires written justification for exemptions. The form must be signed by the individual seeking exemption, acknowledging the associated health risks.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your M# in the designated field at the top of the form.
Fill in your full name and date of birth accurately to ensure proper identification.
Review the immunization requirements listed. Check the boxes next to DTP and MMR if applicable, indicating your compliance.
In the 'REASON FOR EXEMPTION' section, print your name clearly where indicated.
Select either 'Medical' or 'Religious' as your reason for exemption and provide a detailed written statement as required.
Sign and date the form at the bottom, acknowledging your understanding of the risks involved with not receiving vaccinations.
If available, attach any documentation from a medical provider that supports your exemption request before submitting.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the Millersville University controversy?

On Jan. 28, a conservative advocacy organization filed a lawsuit against multiple Pennsylvania State System of Higher Education schools, including Millersville University, alleging discrimination against white and Asian students in a program that aimed to support minority participation in STEM.

What is the Millersville attendance policy?

Students are expected to attend all classes. If a student misses class for an officially excused reason, then he/she is entitled to make up the missed work but only at the convenience of the faculty member.

How do I contact the registrar at Millersville University?

Note: If you are taking a Leave of Absence or Withdrawing for medical reasons from the current semester, contact the Registrars Office at 717-871-5005 for more information.

Is Millersville a dry campus?

through Friday 8:30 a.m. to 4:30 p.m. Millersville University is a dry and non-smoking campus.

How do I drop out of Millersville University?

All students who are withdrawing completely from Millersville must complete a Withdrawal Form with the Registrars Office. Read below to learn more about how your financial aid may be affected. Please note, that the following information applies even for a Medical Withdraw. Prior to the semester start.

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What is Millersville sick policy?

Typically, we do not advise students to miss classes unless a contagious illness justifies a recommendation. Some exceptions to our policy include COVID isolation, Influenza, Mononucleosis, head injuries, and hospitalizations. decision to excuse an absence is left to the discretion of the individual faculty members.