How do I apply for a religious exemption to the immunization policy?

Religious Exemption to the Immunization Policy

When applying for a religious exemption, the student must complete the Religious Exemption Form. The request must include a statement that describes the beliefs in sufficient detail to permit the institution to determine that (1) the beliefs are religious in nature (not philosophical or political) and (2) the beliefs are genuinely and sincerely held. The religious exemption policy and form are available here.


A student must submit a written statement that they hold religious beliefs contrary to the practice of immunization in order to qualify for a religious exemption. Students under 18 years old must submit such a statement signed by his/her parent(s) or guardian(s) to qualify for religious exemption.

This statement must demonstrate that the student, or their parent(s) or guardian(s) holds sincere and genuine religious beliefs which are contrary to the practice of immunization. Each statement requesting a religious exemption must be specific to Pace University. Prior religious exemption statements addressed to other institutions are not considered valid. Public Health Law Section 2165 does not allow for philosophical, political, scientific, or sociological exemptions.

When a religious exemption is requested, Pace University may require additional supporting documentation. You will be notified of the outcome of this request.

Please provide a written statement addressing all of the following elements:

  1. Explain, in your own words, why you are requesting this religious exemption.
  2. Describe the religious principles that guide your objection to immunization.
  3. Indicate whether you are opposed to all immunizations, and if not, the religious basis that prohibits particular immunizations.

Your name, U ID #, and date of birth must be clearly printed on the top of your letter. Sign the bottom if you are over 18 years old; if younger than 18 please have your parents sign the letter.

In the event of an outbreak, Pace University may exclude a student with religious exemptions from vaccination from accessing campus.


Article ID: 2840
Sat 1/29/22 10:07 AM
Tue 3/29/22 12:53 PM

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