Alumni Immunization Records Request Form

Name while at St. Olaf(Required)

First name while at St. Olaf Last name while at St. Olaf

Date of Birth(Required)

Please enter your email address to send your request. Requests may only be sent to the alum and may not be sent to other people or organizations.(Required)

Graduating Year(Required)

Student ID number while at St. Olaf

What information are you requesting?(Required)

Name

This field is for validation purposes and should be left unchanged.