Chapel Exemption Request

Houghton College > Spiritual Life > Chapel > Chapel Exemption Request

Your name*
First Last
Your email*
Which chapel day(s) do you wish to be excused from chapel?*
- Monday
- Wednesday
- Friday
Please check all that apply.
Do you wish your exemption to be effective from the beginning of the semester until the end? **
- Yes
- No
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
In the space below please list all classes that you have on the days for which you are making this request:*
Must include dates and times
Please explain your reason for requesting to be excused.*
If you are requesting an excuse because of the responsibilities related to work-study employment, please include your supervisors name and direct phone line here:
Name
First Last
Phone
Name
This field is for validation purposes and should be left unchanged.

If you are requesting an excuse because of the responsibilities related to work-study employment, please include your supervisors name and direct phone line here: