Application for Chapel Exemption

Students wishing to apply to be exempt from chapel on a regular basis should complete and submit the form below. You will be contacted via your York College e-mail address regarding approval or denial of your request.

Name:
Cell Number
E-Mail:

I am requesting to be exempt from Chapel on the following days each week: (Please use the control key to make more than one selection)
Reason for requesting exemption:

*If you have a documented work conflict, please answer the following:

Place of employment:
Contact person:
Contact person number:
Days working 10:00 - 10:30

Today’s date:

Completing this application does not guarantee exemption. You will receive an e-mail either denying or granting approval from Campus Life.

	Home \| Academics \| Admissions \| Alumni \| Arts \| Athletics \| Campus Life
	© 2007-2013 York College • 1125 E 8th St • York, NE 68467 • 1-800-950-9675

Monday
Tuesday
Wednesday
Thursday
Friday

Monday
Tuesday
Wednesday
Thursday
Friday