New York State Public Health Law #2165 requires all college students to show proof of immunity against measles, mumps and rubella in order to attend classes. All students born on or after January 1, 1957 must comply with this law.

Failure to comply with the immunization requirements will result in your being dropped from all classes, receipt of a "WA" (Administrative Withdrawal) grade for all classes and the possible loss of your financial aid award.

MEASLES

• a) A student must demonstrate receipt of two doses of live measles vaccine: the first dose given on or after the student's first birthday and the second on or after 15 months of age and at least 30 days after the first dose. The recommended interval for college students in the process of receiving their first and second dose of measles is three months. The second dose may be given as early as 30 days after the first dose, but not sooner than 30 days; OR
• b) The student must submit serological evidence of immunity. This means the demonstration of measles antibodies through a blood test performed by an approved medical laboratory. OR
• c) A statement from the diagnosing physician or healthcare provider that the student has had measles disease.

MUMPS

• A student must demonstrate receipt of one dose of live mumps vaccine given on or after their first birthday; OR
• The student must submit serological evidence of immunity. This means the demonstration of mumps antibodies through a blood test performed by an approved medical laboratory. OR
• A statement from the diagnosing physician or healthcare provider that the student has had mumps disease.

RUBELLA

• A student must demonstrate receipt of one dose of live rubella virus vaccine given on or after their first birthday; OR
• The student must submit serological evidence of immunity. This means the demonstration of rubella antibodies through a blood test performed by an approved medical laboratory.
• A physician or healthcare provider statement of disease history is NOT acceptable for rubella.

EXEMPTIONS

• The following exemptions apply where applicable:
• In order to qualify for a religious exemption, a student under 18 years old must submit a notarized written statement signed by his/her parent or guardian stating that they hold religious beliefs contrary to the practice of immunization. Students 18 years old or older must submit such a statement themselves to qualify for religious exemption. This statement must describe the beliefs in sufficient detail to permit the institution to determine that 1) the beliefs are religious in nature (not philosophical), and 2) the beliefs are sincerely and genuinely held.
• Individuals with medical reasons that make immunization undesirable at this time must submit a written statement of exemption from their physician or healthcare provider, specifying which of the immunization products should not be administered and how long the medical contraindication will last. Medical exemption forms are available in the Admission Office NG17.
• Students who were born prior to January 1, 1957, are exempt from the requirements.
• The law does not apply to students enrolled for fewer than six semester hours.

All immunization records must be filed with the Admission Office NG17 and must show the correct number of vaccinations: two (2) doses of live measles, one (1) dose of live mumps and one (1) dose live rubella.

While we are off campus please submit these forms and your proof of vaccinations through the secure document upload link on CUNYFirst. For more information, please email us at Admissions@citytech.cuny.edu or call us at 718-260-5500.

Forms

• Immunization Record / MMR & MEN Form
• Meningococcal Vaccination Response Form
• Meningococcal Disease Fact Sheet