Religious Accommodation Request

The student should complete this form as soon as possible, after examining the course syllabus or otherwise learning of an assignment or exam that poses a potential conflict with religious beliefs or practices and in advance of the requested absence(s).

You must submit a separate form for each course in which you request a religious accommodation.  (We suggest that you type the information required below into a separate document, so that you can copy and paste the application information for each request you submit.)