CON Request for Waiver of Faculty Immunications or CPR Requirements version May 2016: Difference between revisions
Jump to navigation
Jump to search
(Created page with "<table style="max-width:70em !important; background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"> <tr> <td style="padding:0.5em; backgro...") |
(No difference)
|
Latest revision as of 13:38, October 7, 2019
Home | Appendices |
UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF NURSING |
||
Request for Waiver of Faculty Immunizations or CPR Requirements(Subsection 4.2.12 in Resource Manual) | Subsection: Appendix M | |
Section - Appendices | Originating Date: October 2003 | |
Responsible Reviewing Agency: Executive Council Faculty Coordinating Council |
|
|
Related documents: |
I, ________________________________________________, request a waiver of requirements for the following immunization(s) and or CPR, and include a signed statement from my primary care provider if for medical reasons:
for the following reason(s):
_______________________________________________ | _______________________________ | |
Faculty Signature | Date | |
_______________________________________________ | _______________________________ | |
Department Chair/Division Assistant Dean Signature | Date | |