Forward Together Vaccine Survey

Dear Campus Community,

We're pleased to announce that UNI will host what we hope will be the first of several successful COVID-19 vaccination clinics on campus starting spring or early summer.

The first step in that process is gauging interest on campus. Whether or not you are interested in being vaccinated during an on-campus vaccine clinic, please complete the voluntary survey. There's also a survey link provided at the end of this important message.

The survey can only be taken once, and it must be submitted no later than March 31.

Currently vaccinations in Iowa are open only to those 16 and above with an underlying medical condition (as identified by the CDC) that leaves them more susceptible to risk of severe illness from COVID-19. We cannot tell you what category you fall into, so we ask that you please take a moment to review those guidelines provided in the link. Cancer, chronic kidney disease and high blood pressure are among the many conditions that put individuals at increased risk. Those without underlying medical conditions are still asked to complete the survey to prepare for when additional vaccines become available.

The information you provide in the survey will only be used to help secure the proper amount of doses from the Black Hawk County Health Department. Vaccines are a precious resource so please be mindful when filling out the survey to ensure your responses are accurate. Those who do qualify for vaccines at the current time will be provided further information as it becomes available.

Already vaccinated? There's no need to fill out the survey if you have been vaccinated. If someone in your household is 18 or older and is interested in receiving a vaccine you can complete the survey on their behalf. 

Want to receive the vaccine but don't yet qualify? We anticipate being able to host additional vaccination clinics on campus in the future, so please complete the survey. 

Individuals who do not wish to be vaccinated on campus can still receive the vaccine through their health care provider as it becomes available. There are now three safe and highly effective vaccines available and more than 475,000 Iowans have been fully vaccinated, according to the state. And, the CDC reports that vaccines are safe and effective with millions of people in the United States having already received a vaccine under the most intense safety monitoring in U.S. history.

Access the vaccine survey

If you have a question, please visit or email it to Thanks for all that you do to keep yourself, your family and the Panther community safe. 

Stay Well,

John Vallentine,
Associate Provost for Faculty

Joseph Rayzor,
Director of Risk Management, Environmental Health and Safety