Vaccination Attestation

As the COVID-19 pandemic continues to affect each of us, CBC strives to protect the health and safety of the campus community, while offering more in-person instruction, services and activities. As part of that effort, students are able to attest to their vaccination status through the secure Student COVID-19 Vaccine Attestation Form. This requirement is in accordance with Governor Jay Inslee's Higher Education Proclamation 20-12.5 as of August 27, 2021.

COVID-19 vaccines have been proven to be safe and effective at reducing the risk of becoming infected with SARS-Co V-2 (the coronavirus that causes COVID-19), in preventing serious illness and death in those who develop COVID-19, and in limiting the spread of COVID-19. Vaccines are one of the most critical and effective elements for COVID-19 prevention.

All students enrolling in winter quarter 2022 are required to be fully vaccinated against COVID-19 with an FDA-authorized vaccine by January 7, 2022, subject to authorized exemptions for a documented medical condition or sincerely held religious belief or practice. Students who are in fully online programs are also required to complete the attestation.

Masks, three-foot social distancing protocols and daily health attestations are still required while on the CBC campuses, regardless of your vaccination status. 

For additional information, please review the Frequently Asked Questions (FAQs) below and the Student COVID-19 Vaccination Policy.

Vaccination attestation

Student COVID-19 Vaccination Policy

Attest for your shot to win 1 of 5 $100 gift cards

Attest for Your Shot to Win! Are you enrolled for winter quarter 2022 and need some extra cash after the holidays? Attest to your vaccination status or claim a medical or religious exemption by December 10, 2021 to be entered to win one of five $100 gift cards!

Names will be drawn at random and winners will be contacted by December 14, 2021.

Commonly Used Terms

  • Attestation: A declaration affirming or bearing witness that something is true

  • Authorized exemption: A waiver from the vaccination requirement for medical or religious reasons, as defined below        

    • Medical exemption: A waiver from the vaccination requirement on the basis that the student has been evaluated by a licensed health care provider and that the health care provider determined that the student has one or more of the medical contraindications to receiving a COVID-19 vaccine as stated by the Centers for Disease Control

    • Religious exemption: A waiver from the vaccination requirement on the basis that the student's sincerely held religious belief or pratice prevents the student from receiving an authorized vaccine

  • Fully vaccinated: A person is fully vaccinated against COVID-19 two weeks after they have received the second dose in a two-dose series of a COVID-19 vaccine authorized by the U.S. Food and Drug Administration (FDA) (e.g., Pfizer-BioNTech or Moderna) or two weeks after they have received a single-dose COVID-19 vaccine authorized by the FDA (e.g., Johnson & Johnson/Janssen). This includes emergency use authorization. A person is fully vaccinated against COVID-19 two weeks after they have received all recommended doses of a COVID-19 vaccine that is listed for use by the World Health Organization (WHO).

  • Pandemic: An outbreak of a disease that occurs over a wide geographic area (such as multiple countries or continents) and typically affects a significant proportion of the population

  • Vaccine: A preparation that is used to stimulate the body’s immune response against diseases. 

Frequently Asked Questions

CBC is collecting COVID-19 vaccination information to further understand our population and their response to the pandemic, as well as to facilitate the offering of more in-person opportunities as we transition back to our campuses. 

All currently enrolled and enrolling students and all employees of CBC are being asked to complete vaccination attestation at this time. 

Vaccination attestation information is private and confidential. Access to individual COVID-19 vaccination information at CBC will be limited to the Registrar and their designee(s). Only those employees with a legitimate, education-related reason to need this information will be permitted access. 

If you have questions about vaccines, please speak with a trusted health care provider, or visit the CDC’s website for information.

Vaccines are free and widely available in our community, and you are encouraged to visit the WA Vaccine Locator to make an appointment. 

If you are planning to be vaccinated but have not yet received your last shot (either the second dose of a two-dose vaccine or the single dose of a one-dose vaccine), please wait until after your last shot before completing the form.

You will be able to change your answers after submitting the form, such as if you declare an exemption and later decide to get vaccinated.

You must confirm the type and dates(s) of your vaccine or choose one of the exemptions listed.

If you'd like to schedule your free vaccine, you are encouraged to visit the WA Vaccine Locator to make an appointment.

Your COVID-19 vaccination card (which you should keep in a safe, accessible place) lists the dates and type of vaccine used.

If you are unable to locate this card, please visit the Washington Immunization Record website to find the date(s) of your immunizations before attesting to your vaccination status with CBC.

Your SID is a nine-digit number assigned to you, and your PIN is a six-digit number you set up at the beginning of your CBC journey. If your SID and PIN don't seem to be working, try using a different web browser. Retrieve your student ID or reset your student PIN via the Lost Student ID/PIN Tool.

Please contact our Counseling & Advising office at 509-542-5505 or studentvaccinationFREECOLUMBIA_BASIN. No matter why you’re having issues with the form, our team of Completion Coaches can help!

No. For the health of our campus community, COVID-19 protocols (including masking, three-foot social distancing and daily health attestations) are still required for everyone who comes to any of our campuses.

Visit the CBC Campus Safety Measures webpage for all current health and safety protocols.


Yes. Please complete both.

1. Enrolled student form:

Student COVID-19 Vaccine Attestation form

2. Student employment form: 

COVID-19 Proof of Vaccination eForm

If you have questions regarding the student employment attestion process, please email covidvaccinemandateFREECOLUMBIA_BASIN.

Please reach out to our team of Completion Coaches at counselingFREECOLUMBIA_BASIN or 509-542-5505.

Review the Student COVID-19 Vaccination Policy for additional information.


Outside of A Building