COVID-19 Vaccination Status Report

of LNU Students
Note: Please submit accomplished form to the VPSDAS and VPAS on or before November 4, 2021.

Date of Report of Submission

College

Unit/Program

No. of Students Year Level 1 (A)

No. of Students Year Level 2 (B)

No. of Students Year Level 3 (C)

No. of Students Year Level 4 (D)

No. of Students
(A+B+C+D)
No. of Partially Vaccinated Students Year Level 1 (E)

No. of Partially Vaccinated Students Year Level 2 (F)

No. of Partially Vaccinated Students Year Level 3 (G)

No. of Partially Vaccinated Students Year Level 4 (H)

No. of Partially Vaccinated Students
(E+F+G+H)
No. of Fully Vaccinated Students Year Level 1 (I)

No. of Fully Vaccinated Students Year Level 2 (J)

No. of Fully Vaccinated Students Year Level 3 (K)

No. of Fully Vaccinated Students Year Level 4 (L)

No. of Fully Vaccinated Students
(I+J+K+L)
No. of Vaccinated (at least 1 dose) Students
(E+F+G+H+I+J+K+L)
% Vaccinated Students Year Level 1
(E+I/A*100)
% Vaccinated Students Year Level 2
(F+J/B*100)
% Vaccinated Students Year Level 3
(G+K/C*100)
% Vaccinated Students Year Level 4
(H+L/D*100)
% Vaccinated Students
[(E+F+G+H+I+J+K+L)/(A+B+C+D)*100)
No. of Unvaccinated Students Year Level 1 who are
willing to be vaccinated (M)
No. of Unvaccinated Students Year Level 2 who are
willing to be vaccinated (N)
No. of Unvaccinated Students Year Level 3 who are
willing to be vaccinated (O)
 No. of Unvaccinated Students Year Level 4 who are
willing to be vaccinated (P)
No. of Unvaccinated Students who are willing to be
vaccinated (M+N+O+P)

Prepared by:

__________________________________________
Unit/Program Head

Concurred by:

__________________________________________
Dean