Contact Information

College Admissions Office

Sarah Hendrick
Associate Director of Admissions

Immunization Form


Congratulations on Choosing QVCC

It is required by Connecticut State Law that all full-time (degree seeking and non-degree/non-matriculating) and part-time matriculating students enrolled in post-secondary schools and born after December 31, 1956 be protected against measles, mumps, rubella and varicella.

  • Measles, Mumps and Rubella
    You must have two doses of measles, mumps & rubella vaccine at least 28 days apart with dose number one given on or after your first birthday to ensure adequate immunization.
  • Varicella (Chicken pox)
    If you were born after December 31,1979, you must show evidence of immunization for varicella. Students must show two doses of the vaccine administered at least one month apart to ensure adequate immunization.  You may present serologic (blood test) evidence in place of vaccinations to verify immunity, or a physician’s or municipal health director’s certification of the date that you were diagnosed with the disease.
  • COVID-19
    Please click HERE for the most up-to-date requirements for COVID-19.

Immunization Exemption

  • Medical
    If a medical reason prohibits you from being vaccinated, Option 3 of the Immunization Form must be signed and returned to Admissions along with documentation or an explanatory note from the attending physician.

In the event of an outbreak of measles, mumps, rubella or varicella on this campus, students who are not in compliance with the immunization requirements will be excluded from classes until their immunizations are complete.