Immunization Submission Information

Immunizations Requirements

All Hostos Community College students must comply with New York State Public Health Law requirements regarding immunizations.  Students taking six credits (or its equivalent) or more regardless of degree or non-degree status are required to submit proof of immunity to measles, mumps, and rubella. Also, students must complete the meningitis response portion of the Immunization Record.  In addition, if a student has immunization documentation in her maiden name and is admitting to the college under her married name, she must present the marriage certificate along with her immunization documentation.  For more information on Immunization requirements click the link: Immunizations Requirements

United States Immunization Records

There are several different types of immunization documents that students immunized in the United States could have.  There are yellow cards, handwritten charts, Department of Health printouts, Citywide Immunizations Registry printouts, and various different printouts utilized by individual medical facilities. All are acceptable, as long as they are official documents which contain immunization dates. Yellow cards require dates and signatures.   Some people have immunization information on more than one document.  If this is the case, all of these documents need to be presented because they may contain different parts of the required vaccinations. To see samples of a few different U.S. immunization documents click the link: Sample Immunizations Records - U.S.
International Immunization Records

There are several different types of immunization documents that international students can have. There are booklets, typed letters from physicians, printouts from the U.S. Department of State, and printouts from individual medical facilities.  All are acceptable, as long as they are official documents which contain immunization dates, the appropriate signatures and stamps. If the document is in a language other than English, it is the responsibility of the student to have the document translated (by the physician or a professional translation service) if Health and Wellness Center staff are unable to translate the document. To see samples of a few different international immunization documents click the link: Sample Immunization Records - International

Immunizations Form

The Department of Health requires that a record of student meningitis vaccine status be kept.  Therefore, every student must declare his/her meningitis vaccination status using this form.  All students must complete Parts 1 and 3 of the Immunization Record Form. Part 1 is personal information. EMPL ID# refers to your CUNY/Hostos student Identification number, you may not know this number yet.

Part 3 is where students declare their meningitis vaccination status. Please be aware that the meningitis vaccine is not required.  If the student has received the meningitis vaccine within the past 5 years, he/she will check the top box.   Students who select this box must provide proof of this vaccination via their immunization documents.

Students who have not received the meningitis vaccine must select the third box declaring that they do not have the vaccine, understand the risks, and will not be getting the vaccine. Please see the Meningitis Facts Sheet link for more on the risks:  Meningitis Fact Sheet

It is imperative that all students sign the form in Part 3B and put that day’s date next to their signature. Do not put birthdates next to the signature. 

If you have immunization documents you do not have to complete part 2 of this form. Part 2 is for students who have no record and need to get the information from their physician.  It is also for students who have no documentation and no way of getting information regarding their vaccination record, but know that they received the required vaccinations. These students will get a titer (blood) test from their physician and have him/her complete Part 2 of the Immunization Record form. Please click the link for the Immunization Record Form: Immunizations Record Form
Free Department of Health Vaccinations

The Fort Greene Health Center (Department of Health) offers free vaccinations to college (post-secondary) students on a walk-in basis Monday-Friday.  Please see the link for more information: Free Department of Health Vaccinations

For more information please call Ursula Sanders, Wellness Specialist at (718) 518-4483 or email  In the evening, contact Maria Vasquez, R.N. at (718) 518-6542.

Immunizations documents can be submitted in person, via fax (718) 518-6659, or email