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 forwarded to the Dean of Students office for review. If your request is approved, you will receive an email from the Dean of Students office 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. If you need to submit a medical exemption request, please use the Medical Exemption Form and submit to Student Health & Wellness.


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