Student Waived the Vaccine:
State Technical College of Missouri has provided me the information explaining the risks of meningococcal disease and I am aware of the effectiveness and availability of the vaccine. I understand that Missouri law Section 174.335 requires all students who reside in on-campus housing to received the meningococcal conjugate vaccine unless a signed statement of medical or religious exemption is on file with the institution.
A student shall be exempt from the immunization requirement for one of two reasons:
1. Upon signed certification by a licensed physician, indicating that either the immunization would seriously endanger the student's health or life or the student has documentation of the disease or laboratory evidence of immunity to the disease.
2. If the student objects in writing to the institution's administration that immunization violates his or her religious beliefs.