Per CSU policy, vaccination against COVID-19 is required to access CSU campus facilities and participate in in-person learning and activities. Students should upload vaccination documentation after they are fully vaccinated, including boosters. Students updating their vaccination information or requesting an exemption should do so via the COVID-19 Self-Certification process promptly to allow time for requests to be processed. 

 

                   View Frequently Asked Questions

 

Steps to Complete the COVID-19 Self-Certification Form

1. Log in to the myStanState Student Center

Visit my.csustan.edu and click on myStanState Student Center.

2. Open the COVID-19 Self-Certification form

Under Student Records, click on the COVID-19 Self-Certification link.

screenshot of student center, pointing out "COVID-19 Self-Certification" link in Student Records section


The COVID-19 Vaccination Self-Certification page appears.

screenshot of "COVID-19 Self-Certification" form

You may only check one box in this section. If you need to change your selection after submitting, just return to the page and select the updated option. Links on the page provide additional information.

Receipt of Approved Vaccine
If you select the first option, “I certify that I have received an approved vaccine … ”  a new section will appear to add more information about the vaccine and dates received.

For the purpose of satisfying the vaccination requirement in this policy, “approved vaccines” include those administered under an FDA Emergency Use Authorization.

Areas marked with a red asterisk (*) are required. If the vaccine requires two doses (e.g., Moderna or Pfizer), both dates must be completed. Location information is optional.

screenshot of Section I on the "COVID-19 Self-Certification" form


Exemptions

Students may request a medical or religious exemption through the COVID-19 Self-Certification. All requests must have supporting documentation attached in Section III. Please note that COVID-19 vaccination exemption forms are not provided by the University.

 

Medical Exemption

Due to a medical (including mental health) condition for which an Approved Vaccine presents a significant risk of a serious adverse reaction.

  • A medical exemption must be verified by a certified or licensed healthcare professional.
  • Supporting documentation for your medical exemption must be attached in Section III.
screenshot of medical exemption checkbox on the "COVID-19 Self-Certification" form


Religious Exemption

Due to either (i) a person's sincerely held religious belief, observance, or practice, which includes any traditionally recognized religion, or (ii) beliefs, observances, or practices which an individual sincerely holds and that occupy a place of importance in that individual's life, comparable to that of traditionally recognized religions.

  • Statements must be self-written. Statements signed or provided by a religious organization/leader will not be accepted.
  • Supporting documentation for your religious exemption must be attached in Section III.
screenshot of religious exemption checkbox on the "COVID-19 Self-Certification" form

 

Do Not Plan to Access CSU Facilities 
Select the fourth option if you do not plan to physically access campus facilities or participate in programs, activities or instruction in person.

screenshot of checkbox, do not plan to physically access facilities

This is required. You will not be able to submit without having confirmed this section.

screenshot of Section II on the "COVID-19 Self-Certification" form

 

Upload Proof of Vaccination or Supporting Documentation 

If you selected “Received an approved vaccine … ” you must attach an image of your proof of COVID-19 vaccination, such as a photo of your COVID-19 Vaccination Record Card. 

If you selected a medical or religious exemption, you must upload supporting documentation. 

Click on the “supporting documentation” links in the COVID-19 Self-Certification form for information regarding what constitutes documentation of vaccination, medical exemption or religious exemption. 

First, create a digital image of your proof of vaccination or supporting documentation.  A picture from your cell phone will work!  

Then, upload the image in one of the following formats:  
- JPEG Image (.JPG/.JPEG)
- Portable Graphics Format (.PNG)

Note: iPhone/iPad users may need to convert their photo file prior to uploading. Many iPhones/iPads default to .HEIC photo file types, so you will need to convert to a standard format to upload. A simple way to do this is to open the photo of your vaccine card in the Photos app and take a screenshot. The screenshot of the image will be a .JPG file.

Successful upload example:

screenshot of Section III on the "COVID-19 Self-Certification" form

 

Submitting Your Certification  

Click “Submit.” You only need to click submit once, and don’t need to resubmit unless you make changes. Once submitted, you will receive a message that reads, “Thank you for submitting your COVID-19 Vaccine information.” Click “Finish” to return to the myStanState Student Center. 

Frequently Asked Questions

General questions about the vaccine self-certification process should be directed to Student Affairs.

If you need assistance accessing and completing the form, please contact the Warriors Take Care Team at (209) 667-3132 or via email wtc@csustan.edu.

Your documentation can be uploaded on your myStanState Student Center. You will upload your documentation as an image inside the COVID-19 Self-Certification module. For additional information about acceptable forms of documentation and uploading tips, please visit the Student Vaccination Certification webpage.

Image uploads must be in one of the following formats:

  • JPEG Image (.JPEG)
  • Portable Graphics Format (.PNG) 

Please note that PDF or Word Documents will not be accepted by the COVID-19 Self-Certification module.

Supporting documentation is now required.
Listed below is a description of the documents that students must provide, based on COVID-19 vaccination status.

COVID-19 Vaccination:
A legible photograph of the student’s COVID-19 vaccination card. Alternatively, students may provide a smartphone snapshot of their California Digital Vaccine Record.

Medical Exemption:
An authentic, brief, signed letter from the student’s certified or licensed healthcare professional which describes and verifies the need for exemption due to an existing medical (including mental health) condition for which an Approved Vaccine presents a significant risk of adverse reaction. The letter must include the name, address, phone number, and license number of the medical provider. The student should scan the letter for upload and retain the original in safe keeping and provide it upon request.

Religious Exemption:
A brief personal statement that describes the applicable religious, or other comparable belief, and how taking an Approved Vaccine violates the stated religious belief.

You can update your self-certification status at any time by logging into your myStanState Student Center portal to submit your updated documentation. You will be prompted to delete the previously stored image when you provide the new image of your documentation.

Per CSU policy, if you are accessing University facilities or programs in-person you are required to receive a COVID-19 booster shot, if eligible, in order to be up-to-date with your COVID-19 vaccine. Alternatively, you can request an exemption if you are choosing not to obtain the booster shot due to medical or religious reasons.

All requests are being processed. Please allow our team 2-3 business days to process your request. You will receive an email notification to your university email once it has been reviewed/or approved.

While awaiting a response email, please proceed with weekly COVID-19 testing and submit the Student COVID-19 Weekly Testing form.

Submit COVID-19  Weekly Testing Form

Effective Sept. 5, 2022, Stanislaus State will no longer require participation in the COVID-19 weekly testing program for unvaccinated individuals. Uploading of weekly COVID-19 testing documentation will no longer be required for clearance to come to campus.

Experiencing Symptoms?

If you are experiencing COVID-19 symptoms, please complete the COVID-19 Reporting Form. 

Complete COVID-19 Reporting form

You may request a free digital copy of your vaccine card through the Digital COVID-19 Vaccine Record program.

All students are required to complete the COVID-19 Self-Certification inside the myStanState Student Center. You must select the option where you do not plan to be on campus for this semester and do not plan to physically access campus facilities or participate in programs, activities or instruction in-person.

Students who are not immunized, do not have an approved exemption, or fail to complete a self-certification may be denied access to attending in-person classes, events and on-campus facilities. Stanislaus State will provide online resources for students who cannot be on-campus but not all resources or courses may be available online. Stanislaus State prioritizes the health and safety of its campus community, any violations to the University’s policy may be subject to referral to the University’s Office of Student Conduct.

Updated: September 15, 2022