COVID-19 Vaccine Religious Exemption Request

Use this form to submit a religious exemption request for the COVID-19 vaccine or booster. Once submitted, your request will be reviewed by the relevant UConn office. If your request is approved, you will receive an approval within 7-10 business days. Remember that not all agencies will accept exemptions for the COVID-19 vaccine requirement. UConn is not responsible for placing students who do not meet agency requirements. Note that this form is only for religious exemption requests, and such exemptions only apply for clinical/practicum placements. If you need to submit a medical exemption request, please follow the medical exemption instructions provided on our COVID-19 page.

Name(Required)
For which component(s) are you seeking an exemption?(Required)
This field is for validation purposes and should be left unchanged.