Information And Actions Being Taken Related To COVID-19
The Military College of South Carolina
give online buttongive online button apply now buttonapply now button
RecDay2.jpg

Confirmation of Vaccination Form


For employees, this information will only be used internally by Human Resources. Data on the total number vaccinated will be shared with administration, but your individual submission will be held in strict confidence.

For students, the information will be shared with specific school officials and others who have a legitimate educational interest to fulfill their professional responsibilities for The Citadel.

Complete this form only when you have received your first vaccination for the COVID-19 virus.



Status (*)





Invalid Input
CWID (*)

Invalid Input
Name (*)

Invalid Input
Department (*)

Invalid Input
Contact Phone (*)

Invalid Input
Citadel e-mail – (computer username login with @citadel.edu, i.e., smithl1@citadel.edu) (*)

Invalid Input
Medical Provider for Vaccine (MUSC, Roper, Doctor's Office, etc.) (*)

Invalid Input
Date of First Vaccination (*)

Invalid Input
Expected / Completed Date of Second Vaccination (*)

Invalid Input



Back to Top