Chapel Exemption Application

Name: ____________________________________________ Date: _________________

1. Which chapel day(s) do you wish to be excused from chapel?

               Monday               Wednesday                  Friday     

2. Do you wish your exemption to be effective from the beginning of the semester until the end?  If not, please list exact dates.
   
    
   
   
3. In the space below please list all classes (and their times) that you have on the days for which you are making this request:
   
   
   
   
   
4. Please explain your reason for requesting to be excused:
   
   
   
   
   
   

5. If you are requesting an excuse because of the responsibilities related to work-study employment, please have your supervisor sign here:

 ___________________________________________________

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.