Background: Universities are communities with specific health care needs, and rural campuses often do not have access to student health services (SHS). Problem: Lack of basic services can increase health risks for students and the greater community. Methods: A theory‐informed quality improvement project utilizing an organizational assessment, study survey, and proof‐of‐concept intervention designed to demonstrate feasibility and acceptability of a SHS clinic. Intervention: An NP‐directed influenza immunization clinic was conducted on a small rural college campus in southeastern United States. Results: Seventy‐eight students received influenza vaccinations, demonstrating to local stakeholders the feasibility and acceptability of SHS for primary preventative services. Ninety‐seven percent of these students expressed a high likelihood that they would obtain the vaccine again. Conclusions: Results of this study can be used as an exemplar to guide health care initiatives focused on college students in rural communities. [ABSTRACT FROM AUTHOR]