Exception Request Form for Unvaccinated Visitors
The Hartwick College visitor policy requires visitors to be vaccinated. This form is to be completed by a Hartwick College visitor who is not vaccinated and seeks an exception to this policy to be able to visit campus.
You may add up to three (3) additional people to this request.
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Please complete this first section with information about the person completing the form.
Your Contact Phone Number:
Please elaborate on why you are seeking an exception to enter campus without proof of vaccination:
I (we) are requesting an exception to the Hartwick vaccine requirement because I (we) am visiting campus for (please select one)
Athletic Event (please visit
to fill out the athletic request form)
Academic event (concert, play, lecture, etc)
Generator testing and inspections
If you, as the person completing the form, have been vaccinated and are completing the form for someone else, please indicate that in your response to this question.
Adding Additional People
The following question will permit you to add up to three additional people to your request, one at a time. When you have completed adding all individuals, you will be able to select an option to move to or directed to the final page in the form for an acknowledgement.
Do you wish to add another person to this exception request?
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This form was created inside of Hartwick College.