Chapel Attendance Exemption Request Form
Name    
Email    
Student ID    
Classification
Days unable to attend    
    

Commute Conflict 
If you are a commuter student with no classes immediately before and after chapel, please provide your address.

  

Employment Conflict
If you have verifyable employment during chapel, please provide work hours and employer's contact information.

 

Wednesday work hours   
 Friday work hours  
Employer's Name  
 Employer's address   
 Employer's phone   
 Employer's email   

 

Practicum Conflict
If you have a practium during chapel, please provide practicum details.

 

Practicum course name    
 Practicum course number  
 Practicum advisor's name  

 

Special Situation
If you have a special situation that prevents chapel attendance, please explain here.

 

Semester Schedule  
7:45 - 8:50 am    
9:05 - 10:10 am    
11:30 - 12:35 pm    
2:15 - 3:00 pm    
Late afternoon    
Evening    
   

Please remember that you are responsible for the accuracy and truthfulnessof all claims made either by you or your employer. You are required to submit a new Chapel Attendance Exemption Request form each semester, even if your circumstances remain the same.  If you have any questions or concerns, contact the Office of Student Life at 617.745.3596.