Lawrence Technological University is dedicated to keeping all students safe and healthy. 

The University requires all new students living in University Housing to be vaccinated and provide vaccination records to the Office of University Housing. Vaccination records include all childhood vaccinations and the Covid-19 vaccination. Having a record of immunizations will allow University Housing and the University to provide better care for our students in the event of an illness, accident or campus or community outbreak.

All vaccination records or a statement informing the Office of University Housing that you are not vaccinated are due to the Office of University Housing on the following dates depending on your start term:
Fall - August 1st
Spring - December 20th
Summer - May 1st

Records may be submitted via email, fax, mail, or hard copy submitted to the Housing office.

Submitting Vaccination Records

To submit vaccination records, please follow these directions:

Provide records from your health care provider(s). You may contact your K-12 institution for records if they were required.


Ask your health care provider(s) to complete our Vaccination History form.

Vaccination History Form

Records should be submitted in English.

Submit records using one of the following methods:

  • Email records to
  • Fax records to University Housing at 248.204.4115
  • Mail records to:

    21000 West Ten Mile Road
    University Housing
    Southfield, MI 48075

Hepatitis B – Three doses OR lab report confirming immunity

Meningitis B – At least 2 doses of the same vaccine

Measles, Mumps, Rubella (MMR) – Two doses OR lab report confirming immunity

Hepatitis A – Two doses

Meningococcal Conjugate – One dose received since age 16

Pneumococcal – Four doses

Tetanus-Diphtheria-Pertussis – One dose received within the past ten years

Polio (especially for residents under 18 years of age) – Four doses of IPV or OPV

Varicella – Two doses OR lab report confirming immunity

Influenza – One dose yearly

Tuberculosis Test** – A Tuberculin skin test OR Interferon Gamma Release Assay (IGRA) blood test must be completed no more than three months prior to the school start date

Covid-19 - one dose of J&J or two doses of Pfizer or Moderna

The vaccination requirements and recommendations follow the guidelines set forth by the Centers for Disease Control and Prevention (CDC)

** A TB Test is required for all International students, and for students who have traveled outside of the U.S. within 3 months of arriving at LTU.