COVID-19 Vaccine Requirements and Information

Instructions for submitting your request

• I have received COVID-19 vaccination and attest that the information and documentation I submit on this form is accurate and authentic, and pertains to myself,

• I understand that knowingly submitting false statements, falsifying documentation, or purposefully omitting information on this form may result in disciplinary action,

• I understand that I must be “Fully Vaccinated” before entering campus.
  
  Have you been Fully Vaccinated? Click here to read the CDC definition of what it means to be “fully vaccinated”. 

• Read the Vaccine Attestation statement:

• Select the role that best describes you (Student, Employee, or Housing Affiliate)

• Select the “Student” role if: 

• You are a Student;

• You are a College Work-study Student or Student Worker;

• You are a Part-time Employee who is also a Student

• Select the "Employee" role if:

• Employee (Faculty, Staff);

• You are a Full-time Employee who is also a Student

• Select "Affiliate" if you are:

• TC Housing Affiliate

• You must submit the form a separate time for each dose of vaccine or booster shot. Enter the date your dose of your vaccine or booster was administered. The date must match the date on your vaccination document.

• Select the vaccine or booster type you received. Only vaccines listed will be accepted. If your vaccine is not listed you will not be approved to enter campus.

• Upload your vaccine or booster document. Acceptable proof of vaccination include the following:

• CDC COVID-19 Vaccine Card

• World Health Organization (WHO) Vaccine Booklet

• Documentation provided by a health care professional/organization/ country

  
  All documentation must be submitted in English or accompanied by a certified translation (at your own expense). Verification of documentation is at the sole discretion of Teachers College. Additional information or documentation may be requested and if requested must be provided in order to verify a submission.

1. Read the Vaccine Attestation statement:
   • I have received COVID-19 vaccination and attest that the information and documentation I submit on this form is accurate and authentic, and pertains to myself,
   • I understand that knowingly submitting false statements, falsifying documentation, or purposefully omitting information on this form may result in disciplinary action,
   • I understand that I must be “Fully Vaccinated” before entering campus.
     
     Have you been Fully Vaccinated? Click here to read the CDC definition of what it means to be “fully vaccinated”.
2. Select the role that best describes you (Student, Employee, or Housing Affiliate)
   
   Select the “Student” role if: 
   
   
   You are a Student;
   
   
   You are a College Work-study Student or Student Worker;
   
   
   You are a Part-time Employee who is also a Student
3. Select the "Employee" role if:
   Employee (Faculty, Staff);
   You are a Full-time Employee who is also a Student
4. Select "Affiliate" if you are:
   TC Housing Affiliate
5. You must submit the form a separate time for each dose of vaccine or booster shot. Enter the date your dose of your vaccine or booster was administered. The date must match the date on your vaccination document.
7. Select the vaccine or booster type you received. Only vaccines listed will be accepted. If your vaccine is not listed you will not be approved to enter campus.
   
   
8. 
   
   
9. Upload your vaccine or booster document. Acceptable proof of vaccination include the following:
   • CDC COVID-19 Vaccine Card
   • World Health Organization (WHO) Vaccine Booklet
   • Documentation provided by a health care professional/organization/ country

All documentation must be submitted in English or accompanied by a certified translation (at your own expense). Verification of documentation is at the sole discretion of Teachers College. Additional information or documentation may be requested and if requested must be provided in order to verify a submission.

According to the CDC, individuals who received a full series of a vaccine currently authorized for emergency use by the World Health Organization (WHO) do not need any additional doses with an FDA-authorized COVID-19 vaccine but may receive a single dose of Pfizer-BioNTech COVID-19 vaccine at least 5 months after getting all recommended doses or completing a mix and match COVID-19 vaccine series..

For individuals who were partially vaccinated with a WHO-authorized vaccine or who were vaccinated with a vaccine not authorized for emergency use by the WHO, a full series of an FDA-authorized COVID-19 vaccine can be administered with a minimal interval of 28-days post vaccination with a non-FDA-authorized vaccine.

It is TC's intention to follow CDC guidance regarding individuals who may need additional vaccination in order to meet Columbia’s vaccination mandate.

Instructions for submitting your request

1. Read the submission instructions on the form
2. Select the role that best describes you (Student, Employee, or Housing Affiliate)
   Select the “Student” role if: 
• You are a Student
• You are a College Work-study Student or Student Worker
• You are a Part-time Employee who is also a Student
3. Select the "Employee" role if:
• Employee (Faculty, Staff)
• You are a Full-time Employee who is also a Student
4. Select "Affiliate" if you are:
• TC Housing Affiliate
  
  
5. Select the type of COVID-19 vaccination exemption you are applying for.
   
   
6. Upload your COVID-19 vaccination exemption request document.
   
   
7. All documentation must be submitted in English or accompanied by a certified translation (at your own expense). Verification of documentation is at the sole discretion of Teachers College. Additional information or documentation may be requested and, if requested, must be provided in order to verify a submission.