Sign the bottom if you are over 18 years old if younger than 18 please have your parents sign the letter.īe aware that if there is a communicable disease outbreak involving the campus anyone holding a religious exemption may be withheld from attending class and co-curricular activities until such time that the Department of Health declares the campus free from disease. Indicate whether you are opposed to all immunizations, and if not, the religious basis that prohibits particular immunizations.Īssure that your name and ID # are clearly printed on the top of your letter. In your own words why you are requesting this religious exemption.ĭescribe the religious principles that guide your objection to immunization. ![]() Please provide a written statement addressing all of the following elements:.You will be notified of the outcome of this request. When a religious exemption is requested, Adelphi University may require supporting documentation.Please provide a written statement addressing all of the following elements: ![]() When a religious exemption is requested, Adelphi University may require supporting documentation. Public Health Law Section 2165 does not allow for philosophical, political, scientific or sociological exemptions. Prior religious exemption statements addressed to other institutions are not considered valid. ![]() Each statement requesting a religious exemption must be specific to Adelphi University. This statement must demonstrate that the student, or his/her parent(s) or guardian(s) holds sincere and genuine religious beliefs which are contrary to the practice of immunization. Students under 18 years old must submit such a statement signed by his/her parent(s) or guardian(s) to qualify for religious exemption. I understand that during a vaccine-preventable disease outbreak at the above-identified child care program, all susceptible children, including the child. In that sense, no one should need a letter from a priest, as we also wrote, A religious, moral or other exemption of conscience should be ascertained not by documents, but by a simple. A student must submit a written statement stating that they hold religious beliefs contrary to the practice of immunization in order to qualify for a religious exemption.
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