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? * RequiredState how the religious observance conflicts with your academic schedule and what specific accommodations you are requesting. * RequiredBy 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.