[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-279513-105":3,"doc-detail-279513-en":81,"detail-sidebar-cat-1-en-105":97},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","request-for-religious-exemption-to-vaccinations","Request for Religious Exemption to Vaccinations","","Student Health Services provides a structured request form to apply for a religious exemption from mandatory vaccinations at an institution of higher education. The form cites New Jersey state law requirements for submitting a written, signed objection that explains how immunizing agents conflict with the student’s religious beliefs. Students specify which vaccinations they seek to be exempt from, including MMR, Hepatitis B, and Meningitis, and sign an acknowledgment of temporary exclusion during vaccine-preventable disease 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is the basis required to request a religious exemption to vaccinations?","Question",{"text":63,"@type":64},"The request must be based on objections to immunizations that conflict with the student’s religious beliefs, stated in a written statement submitted to the institution.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which vaccinations does the form list for exemption requests?",{"text":68,"@type":64},"The form lists MMR, Hepatitis B, and Meningitis under “Requesting Exemption for.”",{"name":70,"@type":61,"acceptedAnswer":71},"What acknowledgment does the student sign regarding the exemption?",{"text":72,"@type":64},"The student acknowledges that, due to the religious exemption, they may be temporarily excluded from classes and institution-sponsored activities during a vaccine-preventable disease outbreak or threatened outbreak.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},279513,1790042495,{"code":4,"msg":82,"data":83},"success",{"doc_id":79,"user_id":84,"nickname":42,"user_avatar":85,"doc_module":22,"category_id":86,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":87,"file_id":88,"file_url":89,"file_type":90,"file_size":91,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":92,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":93,"faqs":94,"seo_title":95,"seo_description":12,"update_tm":96,"read_time":4},962088121634,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc",18,"Student Health Services  \nRequest for Religious Exemption to Vaccinations  \nStudent Name  Date of Birth   \nNJ state law ( NJAC 8:57‐6 . 15) indicates that an institution of higher education shall exempt a student from mandatory immunization if the student objects thereto in a written statement submitted to the institution, signed by the student (or a parent or legal guardian if a minor) explaining how the administration of immunizing agents conflicts with the student’s religious beliefs.  \nRequesting Exemption for:  \nMMR  Hepatitis B  Meningitis   \nStatement for Exemption: Objections to vaccinations based on grounds which are not religious in nature and which are of a philosophical, moral, secular, or more general nature are unacceptable.  \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \n_____________________________________________________________________________ _  \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \nTo be signed by student:  \nI understand that because of the above stated religious exemption to receiving the specific immunizations indicated I may be temporarily excluded from classes and from participating in institution‐sponsored activities during a vaccine‐preventable disease outbreak or threatened outbreak. Signature:  Date:","cbCaiugZxWhUgvh4","https://ap.wps.com/l/cbCaiugZxWhUgvh4","pdf",177968,"English","# Student Health Services\n## Request for Religious Exemption to Vaccinations\n## Vaccinations Requested for Exemption\n## Statement Requirements\n## Student Signature and Date","[{\"question\":\"What is the basis required to request a religious exemption to vaccinations?\",\"answer\":\"The request must be based on objections to immunizations that conflict with the student’s religious beliefs, stated in a written statement submitted to the institution.\"},{\"question\":\"Which vaccinations does the form list for exemption requests?\",\"answer\":\"The form lists MMR, Hepatitis B, and Meningitis under “Requesting Exemption for.”\"},{\"question\":\"What acknowledgment does the student sign regarding the exemption?\",\"answer\":\"The student acknowledges that, due to the religious exemption, they may be temporarily excluded from classes and institution-sponsored activities during a vaccine-preventable disease outbreak or threatened outbreak.\"}]","Request for Religious Exemption to Vaccinations | PDF",1789522113,{"code":4,"msg":82,"data":98},[99,104,108,113,118,123,128,131,136],{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},11,"Presentations",90,"presentations",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},"Resumes",80,"resumes",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},14,"Invoices",70,"invoices",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},15,"Posters",60,"posters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},16,"Social Media",50,"social-media",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":126,"slug":127},17,"Forms",40,"forms",{"id":86,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":129,"slug":130},30,"letters",{"id":132,"doc_module":22,"doc_module_name":25,"category_name":133,"show_sort_weight":134,"slug":135},21,"Paper Templates",5,"papers-templates",{"id":137,"doc_module":22,"doc_module_name":25,"category_name":138,"show_sort_weight":4,"slug":139},158,"General","general-158"]