Immunizations and Exemptions

Immunizations and Exemptions

The North Dakota University System requires that all new students provide vaccination records for measles, mumps, and rubella (MMR), meningitis, and in some cases tuberculosis (TB). Individuals can request exemptions from these requirements. Vaccination requirements and exemption processes are detailed in the sections below.

All new, undergraduate students (both domestic and international) who will be taking for credit classes or living on the DSU campus, are required to submit vaccination documentation for the following:

  • Measles, mumps, and Rubella (MMR)
    • (a) Evidence of two doses of the MMR vaccine no less than 28 days apart from a licensed provider, an authorized representative of the state, or local health department; (b) proof of a positive serologic test of MMR; or (c) proof of birthdate prior to 1997.
  • Meningitis
    • Evidence for students 21 years of age or younger of at least one dose of the meningococcal conjugate vaccine (MCV4) given after their 16th birthday. The conjugate provides vaccination against strains A, C, Y and W-135. Vaccinations against strain B is optional.

  • In addition to the MMR and meningitis requirements, tuberculosis (TB) testing is required of all new international students except those from countries that the World Health Organization ( has classified as low risk for tuberculosis (currently Canada, Saint Lucia, Jamaica, Virgin Islands, Saint Kitts and Nevis, United States of America, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malta, Monaco, Netherlands, Norway, San Marino, Sweden, Switzerland, United Kingdom, American Samoa).
    • International students transferring from a college or university located in the United States are not subject to the tuberculosis skin testing, unless they have visited or resided in another country with in the last six months (countries on the WHO low risk list are excluded)
    • Students must provide documentation of a TB skin test done within the United States with in the past 6 months.
      • Documentation must be provided directly to DSU Health Services from a licensed care provider. DSU Health Services can provide contact information for local providers.
      • Documentation must show a PPD Mantoux skin test read and documentation in millimeters of induration. A previous chest x-ray copy may also be required if deemed necessary by DSU Health Services.
    • Upon results of TB skin testing, DSU Health Services may dem a chest x-ray necessary. The chest x-ray must be conducted by an authorized and licensed health care provider. Students are responsible for the cost of any chest x-rays.
    • Students may not attend on-campus courses until skin test results or chest x-ray results have been cleared by DSU Health Services, and the student is deemed free of tuberculosis.
    • Students diagnosed with tuberculosis will be subject to guidelines and recommendations made by the North Dakota State Department of Health, implemented by DSU Health Services.


DSU may grant exemptions from the MMR and/or meningitis vaccination requirements for the following reasons:

  • Vaccination is contradicted by a medical condition.
  • The student’s belief’s preclude participation in a vaccination program.
  • Students enrolled only in distance learning courses, courses taught off campus, continuing education, or non-credit courses while living off campus.
  • Students in attendance at camps, workshops, or programs and classes delivered under contact to a third party.
  • DSU benefits eligible employees enrolled in classes.

Students requesting exemptions for options (a) or (b) must complete and submit an Immunization Exemption Request Form.

DSU benefits eligible employees must submit an approved NDUS Application for Employee Tuition Waiver/Assistance form to the Office of Admissions.


Any questions about vaccination requirements can be directed to the Office of Admissions at or 701-502-4390.