Chapel Exemption Form

Houghton College

Name:______________________                                                                  CPO:_______

 Date:_______________________

1. On what days every week do you wish to be excused from attending chapel?
   
   
   
    
2. Do you wish this excuse to be effective from the beginning of the semester until the end?
   
   
    
3. If not, write the date of the first absence and the last absence for which you wish to be excused:
    
   
    
4. In the space below, state whether you have any classes on the days for which you are making the request, and what time these classes are provided:
   
   
   
   
   
    
5. Write in the space below your reason for requesting to be excused:
   
   
   
   
   
   
    
6. If you are requesting an excuse because of the responsibilities related to work-study employment, please print this form, have your supervisor sign below, and send it to Alison Young in the Office of Student Life.
   
   
   Signature of Supervisor:________________________________

Chapel Attendance Policy:

All full-time students are required to attend 2/3 of all chapel services. The following are exempt: student teachers, full time interns, students enrolled in off-campus programs.