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: _______________________________________________________

 

___________________________________________________________________________

 

Course: ___________________________________________________________________

 

Reasons for exemption: _______________________________________________________

 

___________________________________________________________________________

 

Course: ___________________________________________________________________

 

Reasons for exemption: _______________________________________________________

 

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Course:                                                                                                                                       

 

 

Instructor: _______________________________________________Date _____________

 

Chairperson: _____________________________________________Date _____________

 

Dean: ____________________________________________________Date _____________