Alana Dawson '17

Major: Civil Engineering
Hometown:Coshocton, OH

My ultimate career goal is to become a civil engineer for an engineering firm that will allow me to travel. I want to travel the world, and engineers have many opportunities for this.

Health Center Forms

Dear Student,

We would like to take this opportunity to welcome you to University of Mount Union, and wish you academic success and good health during your college years.

To promote a healthy living environment on campus and to protect our campus community from vaccine preventable diseases, the University requires all students to have updated immunizations prior to their arrival on campus.  Two doses of MMR (measles, mumps, and rubella) and a Tetanus-Diptheria (or Tdap) within the last 10 years are mandatory.  Your healthcare provider may suggest other immunizations that are highly recommended. Refer to the following web pages for more information about immunizations: or

Also, in the event of an emergency, it is important for us to have emergency contact phone numbers on file, as well as other important information about students such as their health histories, medical conditions, allergies and medications.  We suggest you contact your health care provider soon to schedule a time for a physical and to receive any immunizations you might need.  It is also recommended that all students have a physical exam by their personal physician prior to the start of the school year however it is mandatory for anyone who plans to participate in athletics at the University of Mount Union.

You will find the required forms below. Sources of information to complete the immunization pages include: your health care provider, your high school, and your local health department.

The completed forms (5 pages) should be mailed to the Health Center at least one month prior to your arrival on campus if possible.  Please include only the Health Center forms in your envelope and address them to: Health Center, University of Mount Union, 1972 Clark Ave., Alliance, OH  44601.

Best wishes for academic success and good health,

The University of Mount Union Health Center Staff


General Forms


Forms for Athletes Only

These forms are for student athletes only and are maintained by the Athletic Department. If you have questions concerning the student athlete health forms, please contact Marci Higgins, head athletic trainer, at 330-823-4668.

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