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Academic and Student Services 69
1. A document bearing the signature or stamp of the physician or his/her designee, or public health personnel (must include the month, day, and year the vaccination was administered).
2. An official immunization record generated from a state or local health authority (must include the month, day and year the vaccination was administered).
3. An official record received from school officials, including a record from another state (must include the month, day, and year the vaccination was administered).
Evidence of declining vaccination must be submitted in one of the following two formats:
1. An affidavit or a certificate signed by a physician who is duly registered and licensed to practice medicine in the United States, in which it is stated that, in the physician’s opinion, the vaccination required would be injurious to the health and well- being of the student.
2. An affidavit signed by the student stating that the student declines the vaccination for bacterial meningitis for reasons of conscience, including a religious belief. A conscientious exemption form from the Texas Department of State Health Services must be used. Secure online “Affidavit Request for Exemption From Immunizations for Reasons of Conscience” can be found at: https://webds.dshs.state.tx.us/immco/default.aspx. Exemption forms may take up to two weeks to be approved.
All documents can be mailed, faxed, emailed or hand delivered to the Texas Wesleyan University Office of Residence Life.
Mail:
Fax:
Email:
Hand Delivery:
Office of Residence Life
Texas Wesleyan University 1201 Wesleyan St.
Fort Worth, TX 76105 817/531-4432 Housing@txwes.edu Brown-Lupton Center, Suite 133
Reminder-Students will not receive an official housing assignment until appropriate documents have been received by the Office of Residence Life.
For general information about bacterial meningitis see: https://txwes.edu/campus-life/health
If you have any questions, please contact Texas Wesleyan Residence Life Department at 817/413-5000.
Student Employment
In conjunction with the Office of Financial Aid, through which students who qualify for the federal work-study programs are identified, on- campus student employment is coordinated by the Office of Human Resources for both work-study and non-work-study students. All students desiring on-campus employment should contact the Office of Human Resources, where available positions are listed and all necessary forms are processed. The list of available positions can also be found at http://www.txwes.edu/hr/studentemployment.aspx. The Office of


































































































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