Click here for the Proof of Immunization Compliance Form.
Nicholls State University requires entering students to provide proof of the following vaccines in accordance with Louisiana Revised Statute 17:170, institutions of higher learning must require proof of immunization for enrollment and are required to maintain a record of immunizations for students.
TWO (2) doses of measles vaccine; at least one (1) dose each of rubella and mumps vaccine; ONE (1) tetanus-diphtheria booster (AT LEAST 10 YEARS CURRENT); TWO (2) doses of meningococcal meningitis vaccine OR one (1) dose, if first dose was given on or after age 16.
Measles, Mumps, Rubella (MMR) Requirement: Two (2) doses of live vaccine given at any age, except that the vaccine must have been given on or after the first birthday, in 1968 or later, and without Immune Globulin. A second dose of measles vaccine must meet this same requirement, but should not have been given within 30 days of the first dose. A history of physician-diagnosed measles is acceptable for establishing immunity, but should be accepted with caution unless you were the diagnosing physician.
Tetanus-Diphtheria Requirement (Td or Tdap): A booster dose of vaccine given within the past ten (10) years. Students can be considered to have completed a primary series earlier in life, unless they state otherwise.
Meningitis Requirement: Two (2) doses OR one (1) dose, if first dose was given on or after age 16. If the first dose is administered AFTER age 16, a second dose is NOT required.
Exemption Request: If a student requests exemption for medical, personal, or religious reasons, the Exemption Request must be completed and signed. An exempted student may be excluded from campus and classes in the event of an outbreak of measles, mumps, rubella, or meningitis until the outbreak is over or until the student submits proof of immunization.
Students not meeting the Td and MMR immunization requirement will be prevented from registering for subsequent semesters. Student’s registration will not be complete until they have complied with the Meningococcal vaccination requirement.
For more information, please see our Immunization FAQs page.