Examination Exemption Request Form
Department:_________________________________
Please note:
1) This form only needs to be completed if a final exam or other culminating evaluation activity will not be given during the 15th week of the semester.
2) No form is needed for tutorials, as these do not require an examination
For the reasons given, I do not believe that a final examination or other culminating evaluation activity during the 15th week of the semester is appropriate for the following courses:
(Please provide reasons for exemption for each course listed)
Course: ___________________________________________________________________
Reasons for exemption: _______________________________________________________
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Course: ___________________________________________________________________
Reasons for exemption: _______________________________________________________
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Course: ___________________________________________________________________
Reasons for exemption: _______________________________________________________
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Course: ___________________________________________________________________
Reasons for exemption: _______________________________________________________
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Course:
Instructor: _______________________________________________Date _____________
Chairperson: _____________________________________________Date _____________
Dean: ____________________________________________________Date _____________