Health and Medical History

Please check if you have problems with any of the following:
Are You Taking Any Medications Regularly?*
Do You Have Any Known Allergies?*
Are Your Immunizations Up To Date?*

It is strongly recommended that all immunizations are current, since students live and attend class in close proximity.

By filing this form electronically, I certify the statements in this application are true and correct to the best of my knowledge.*