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Vaccination Intention
2.
Directions
If you are choosing not to receive a COVID-19 vaccination or are unsure, please take a moment to confirm your intentions by completing the form below.
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Email
(Required.)
*
4.
Andrews University ID#
(Required.)
*
5.
Check the statement below that best applies to you.
(Required.)
I do not plan on receiving a COVID-19 vaccination.
Currently, I am unsure if I will receive a COVID-19 vaccination.
Comment (optional):
