Religious Observance Request Form

Name * Required
First Last
Email * Required
School and Program/Major * Required

Pharmacy and Health Professions students must submit a copy of this form, once approved, to whomever grants excused absences within your respective school.
Year of Graduation * Required
Course Affected by Request * Required
Your Professor's Email Address * Required
What is the date, time, and location of the religious observance for what you are seeking accommodations? * Required
State how the religious observance conflicts with your academic schedule and what specific accommodations you are requesting. * Required
By checking this box, you also understand that the accommodation may not be granted, but that Shenandoah University will do its best to provide a reasonable accommodation to you. * Required
- Yes, I understand.
- No, I decline.