Requesting Religious Exemption

Religious Exemption Request

Vaccinations No Longer Required

The Board of Trustees for the Foothill-De Anza Community College District voted on April 3, 2023, to rescind the COVID-19 vaccination requirement that was enacted in August 2021.

This means students and employees are not required to be vaccinated for the 2023 summer session or fall quarter. As a result, exemptions will no longer be necessary.

De Anza College and the Foothill-De Anza Community College District are committed to providing equal educational opportunities without regard to any protected status, and an academic environment that is free of unlawful harassment, discrimination and retaliation. The college and district are committed to complying with all laws protecting students' and employees' medical conditions or religious beliefs and practices.

When requested, the college and district will provide an exemption or reasonable accommodation for an individual’s medical condition or religious beliefs and practices which prohibit the individual from receiving a COVID-19 vaccine, provided the requested accommodation is reasonable and does not create an undue hardship for the college or district, and provided that it does not pose a direct threat to the health or safety of the requesting individual or of others in the campus community.

In considering this request, the college or district may need to obtain additional information or documentation, and may need to discuss the nature of your religious beliefs with your religious adviser or other religious scholars. This information will be used by the appropriate college or district personnel to engage in an interactive process to determine eligibility for, and to identify, possible ADA accommodations.

By submitting this request, you are asserting that the information is complete and accurate to the best of your knowledge, and that you understand intentional misrepresentation may result in disciplinary action.

You will receive a response to your request within three business days.

First Name*

Last Name*

Street Address*

Apartment/Unit #

City*

State*

Zip Code*

I am requesting an exemption from the requirement for COVID-19 vaccination on the following religious grounds. (Please explain how the vaccination interferes with your free exercise of religious beliefs.)*

Please read the following paragraphs and check each box to indicate that you understand them.

I understand that if I receive an exemption, I may be subject to certain conditions for coming to campus. I also understand that my request for an accommodation may not be granted if it is not reasonable, if it poses a direct threat to the health or safety of others or to me, or if it creates an undue hardship on De Anza College or the Foothill-De Anza Community College District.

If I do qualify for a religious exemption, I understand that I will be required to comply with the following conditions

If I test positive for COVID-19, I will stay at home for five days, except for medical treatment, and then take a new test.
- If the new test is positive or I continue to have symptoms, I will stay at home for at least another five days.
- If the new test is negative, I can return to class but must wear a face mask for an additional five days.
If I am exposed to someone with COVID-19, but I do not have symptoms, I will get tested for COVID-19 between three to five days after the exposure.
If there is an outbreak of COVID-19 on campus, I may be asked to leave temporarily for my safety or the safety of others.
I am responsible for any financial or academic burdens that may result from the above conditions.

I understand that if I decide to be vaccinated in the future, I should discuss the risks and benefits with my medical provider.

Age Requirement

I am at least 18 years old.

I am under the age of 18.

You must login with your CWID and MyPortal password to continue.

CWID*

MyPortal Password*