CON Request for Waiver of Faculty Immunizations or CPR Requirements: Difference between revisions
Jump to navigation
Jump to search
(Redirected page to Special:PermanentLink/11101) Tag: New redirect |
No edit summary |
||
(One intermediate revision by the same user not shown) | |||
Line 1: | Line 1: | ||
<table style="max-width:70em !important; background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"> | <table style="max-width:70em !important; background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"> | ||
<tr> | <tr> | ||
Line 45: | Line 43: | ||
<table width="100%" cellpadding="0" cellspacing="0"> | <table width="100%" cellpadding="0" cellspacing="0"> | ||
<tr> | <tr> | ||
<td>Revised: [[ | <td>Revised: [[Special:PermanentLink/7712|February 2008]]<br />Reviewed: [[Special:PermanentLink/11099|May 2016]]<br />Revised: March 2018 ([[Special:Diff/11099/{{REVISIONID}}|changes]])</td> | ||
</tr> | </tr> | ||
</table> | </table> | ||
Line 75: | Line 73: | ||
<tr><td colspan="3"> </td></tr> | <tr><td colspan="3"> </td></tr> | ||
</table> | </table> | ||
Latest revision as of 13:49, June 12, 2024
Home | Appendices |
UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF NURSING |
||
Request for Waiver of Faculty Immunizations or CPR Requirements | Subsection: Appendix M | |
Section - Appendices | Originating Date: October 2003 | |
Responsible Reviewing Agency: Executive Council Faculty Coordinating Council |
|
|
Related documents: 4.2.12 |
I, ________________________________________________, request a waiver of requirements for the following immunization(s) and/or CPR (please list):
for the following reason(s) (ex. allergy):
_______________________________________________ | _______________________________ | |
Faculty Signature | Date | |
Submit completed/signed form to conrecords@unmc.edu | ||
Note: For recurring requirements, form should be submitted each time requirements comes due. | ||