Immunization Clinic Vaccine Survey

Section

Last updated

6/25/2024 5:20:39 PM

Appleby College will be hosting an immunization clinic in early November.

Please complete the following survey to assist the Health Centre in acquiring the approporate number of vaccines.

Are you an employee or a student? Please select below:*

Student

Employee

Please select below the vaccine(s) you are interested in receiving at Appleby's Health Centre:*

I am not interested in receiving the Flu or COVID-19 vaccines at Appleby's Health Centre

COVID-19 Vaccine

Flu Vaccine

Flu Vaccine & COVID-19 Vaccine