Covid-19 Vaccine Exemption Request

Trinity Washington University requires all students, faculty, and staff to be fully vaccinated against Covid-19 prior to being on campus. See https://discover.trinitydc.edu/news/important-covid-19-vaccine-update/ for additional details.

Effective January 1, 2022: ALL TRINITY STUDENTS, FACULTY, STAFF AND VENDOR PARTNER PERSONNEL who plan to be in person, on campus must provide proof of full vaccination, including booster shots. Your booster should come six months after your initial series of the vaccine.

Students: please upload your COVID vaccine cards through the Trinity Student Health Portal. Alternatively, you can provide a copy in person to the Health and Wellness Center (Main 461).

The student portal can be accessed at TrinityDC.studenthealthportal.com. Use your Trinity username and password to login to the secure site.
If you have a documented medical or religious reason to be exempted from the vaccine requirement, please complete the COVID Vaccine Exemption Request form. Students with approved exemptions must present weekly COVID test results to the Health Center. Exemptions do not apply to participation in Athletics, nor to Students residing in on Campus Housing.
If you have questions or concerns, please reach out to the Health and Wellness Center via phone at 202-884-9615 or email healthcenter@trinitydc.edu

Faculty and Staff – please provide your verification directly to Tracey Prince Ross in Human Resources.

Student Covid-19 Vaccine Exemption Request

Trinity Washington University will require all students, faculty, and staff to be fully vaccinated against Covid-19 prior to being on campus. If you have a documented medical or religious reason to not be vaccinated, please use this form to submit your request for an exemption.

Name*
First Last
Trinity Email Address*
Phone*
Exemption Requested*
- Medical Exemption
- Religious Exemption
- Other Exemption
Religious Exemption
Please provide additional details regarding your request for a religious exemption, so that we may support you. You need to attach documentation from your religious leader to substantiate your request for a religious exemption.
Medical Exemption
Please provide additional details regarding your request for a medical exemption, so that we may support you. You need to attach official documentation from your healthcare provider to substantiate your request for a medical exemption.
Other Exemption
Please provide additional details regarding your request for an, so that we may support you. You need to attach official documentation to substantiate your request for an exemption.
Documentation*
Please attached any additional documentation for consideration of your request.
Max. file size: 49 MB.
Acknowledgement*
I acknowledge that all information provided on this form is accurate and truthful. I understand that if an exemption is granted, that I will be subject to provide weekly COVID test results in order to be in person on campus.
- Yes

Covid Vaccine Exemption Request

Covid-19 Vaccine Exemption Request

Student Covid-19 Vaccine Exemption Request