CON Request for Waiver of Faculty Immunizations or CPR Requirements: Difference between revisions
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<td>Revised: [[CON Request for Waiver of Faculty Immunizations or CPR Requirements version February 2008|February 2008]]<br />Reviewed: May 2016</td> | <td>Revised: [[CON Request for Waiver of Faculty Immunizations or CPR Requirements version February 2008|February 2008]]<br />Reviewed: [[CON Request for Waiver of Faculty Immunications or CPR Requirements version May 2016|May 2016]]<br />Revised: March 2018</td> | ||
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Revision as of 13:37, October 7, 2019
Home | Appendices |
UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF NURSING |
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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 |
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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 | |