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. 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.
Beginning Fall 2021, the University is requiring a COVID-19 vaccination for all students living in University Housing. Students must email a picture of their COVID-19 Vaccination Card to email@example.com by August 1, 2021, or they will not be allowed to move into University Housing.
All Vaccination Exemption Requests must be submitted by July 19, 2021, at 4 p.m. for consideration.
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 firstname.lastname@example.org.
- Fax records to University Housing at 248.204.4115
- Mail records to:
21000 West Ten Mile Road
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 Vaccination* - Single Dose, or Two-Dose vaccinations by August 1.|
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.
Vaccination Exemption Requests
The University will review medical and religious exemption requests to the vaccination requirement and will inform the student if the request is approved or denied.
A medical exemption request requires a letter from a health care provider stating that immunizations are medically contraindicated. A contraindication is a specific situation in which a drug, procedure, or surgery should not be used because it may be harmful to the person.
A religious exemption request requires a signed written statement from the student describing the reason for the exemption and must include the following:
- An explanation of the reason for exemption in your own words
- A description of the religious principle that guides your objection
- An indication of whether this religious belief constitutes an objection to all immunizations, or only a particular vaccine; if it is not an objection to all immunizations, you must explain the religious bias for not receiving a particular vaccine
- A statement that the student (or parent/guardian if the student is under 18) is aware they will be prohibited from attending classes and living in University Housing in the case of a vaccine preventable outbreak or exposure.
All medical or religious exemptions requests should be emailed to email@example.com.
The University does not require a physical examination.