Complete & Submit Your Immunization Form

Recommended completion date: July 31

Minnesota Law (M.S. 135A.14) requires proof that all students born after 1956 are vaccinated against diphtheria, tetanus, measles, mumps, and rubella. The following Immunization Form must be completed and signed prior to beginning your first semester at NCU. The form is very simple – just write your name at the top and then fill out Part 1 if you are from MN, fill out Part 2 if you are transferring, or fill out Part 3 if you graduated from high school in a state other than MN. There is no need for a doctor’s signature unless you want to file a medical exemption.