All Governors State University students are required by Illinois Law (Public Act) 85-1315 to provide proof of immunity for tetanus/diphtheria, measles, mumps and rubella.

Where can I locate my immunization information?

  1. Previous high school or four-year college/university
  2. Military records
  3. Family physician or childhood records
  4. If none of the above options have your records, request a healthcare provider to complete a blood test that proves immunity to tetanus/diphtheria, measles, mumps and rubella.  Please attach the results of the lab report(s).  Also, ensure you have a Tetanus/Diphtheria (Td) or Tetanus/Diphtheria/Pertussis (Tdap) booster within the last 10 years.

Immunization records must be recently dated and signed by a healthcare provider.  In order to meet compliance, records must include a tetanus/diphtheria (Td or Tdap) booster within the past 10 years, and two measles, mumps, rubella (MMRs) after the first birthday.

International students, born outside of the United States, must provide proof of three DTs and two MMRs. If records are not in English, they must be accompanied by a certified translation. 

Immunization Record Compliance Deadlines:

Tuesday, September 2, 2014
  • Students admitted Summer 2014
  • Students admitted Fall 2014

Wednesday, January 28, 2015

  • Students admitted Spring 2015

Transfer, graduate, doctoral and freshman students must submit documentation in order to be in compliance.  Students who do not submit immunization records by the above deadlines will have a registration hold placed on their records and will be unable to register until they have fulfilled this requirement; prolonged noncompliance will result in a $25 charge assessed to a student's account.

Immunization Records can be submitted to the Academic Resource Center by:

Fax:            708.235.3961
Email: (scanned and attached as pdf)
Drop off:     Academic Resource Center, Room B1215 (across from the cafeteria)
Postal mail:  1 University Parkway, University Park, Illinois 60484-0975

For more information and to access the Immunization Form, please click here

The Immunization Deadline Extension/Exemption Request form is available for students currently enrolled in the Spring 2014 Semester or who are graduating no later than August 2014.  To access this form, please click here.

Students who have previously submitted immunization records to GSU through their academic department, please click here to access the appropriate documentation.