ACT2 Attestation Request Form

Community Colleges of Spokane will be requiring COVID-19 vaccinations in accordance with Gov. Jay Inslee’s Higher Education Proclamation. All students must be fully vaccinated against COVID-19 unless they claim a religious or medical exemption.

Please fill out the information below to request an attestation form for spring quarter classes. There are 3 options for completing this form with varying processing timelines. Please review all information before submitting.

Date of Birth:

First Name:

Middle Initial: (optional)

Last Name:

Email Address:

Street Address:

City:

State:

Zip:

Phone Number:

( ) -

Alternate Phone: (optional)

( ) -

How would you like to receive your attestation form:

Please send form by email for me to print, fill out, and return by USPS to Spokane Community College (please allow approximately 2 weeks from received date to process)
Please send a paper form by USPS Mail (please allow approximately 3 weeks from received date to process)
Please email instructions to complete this process via ctcLink (please allow approximately 2 days to process)

ACT2 Attestation Request Form

ACT 2