Alumni Campus Visit Request Form

To ensure for the safety of our community Mercy has implemented a few policies to keep everyone safe. These include a mask policy which requires all individuals to wear a mask when indoors and a vaccination policy requiring all students, faculty and staff to be vaccinated and boosted against COVID-19. In addition, the College has created a visitor policy that also requires all guests to the campuses to be vaccinated and boosted and wear a mask when indoors.

Alumni Visitor Policies

Visitors to Mercy Campuses are required to be fully vaccinated and boosted against COVID-19.
Alumni need to contact the Office of Alumni Relations prior to their visit so they can be pre-approved to use the campuses.

Please follow these steps to receive your pre-approval to visit campus:

Please fill out the form below and upload visual proof of your COVID-19 vaccination and booster. This can be a screenshot of your Excelsior Pass, NYC COVID Pass or a clear photo of your CDC Vaccine Card. Your proof must clearly show that you have received all three shots.

Alumni Contact Information

Name*

Prefix (optional)

First Name

Middle Name (optional)

Last Name

Suffix (optional)

Maiden Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Cell Phone

Home Phone

Class Year*

Major

Primary Campus You Attended

Please upload visual proof of your COVID-19 vaccination and booster. This can be a screenshot of your Excelsior Pass, NYC COVID Pass or a clear photo of your CDC Vaccine Card. *

No File Chosen

File uploads may not work on some mobile devices.