Petition for Policy Exception

Please fill in this form with as much information as possible. Submission of this form does not guarantee that any policy exception will be granted.

Name Name First Last
Team
Email
Phone Phone - ### - ### ####
Today's Date Today's Date / MM / DD YYYY
Event Being Missed
Date of Event Date of Event / MM / DD YYYY
Check the appropriate excuse or exception that applies to your situation

Check the appropriate excuse or exception that applies to your situation Work Conflict Financial Conflict Ropes Conflict Class Conflict (Provide class name, time, & professor below) Other Other
Please comment/give reason for your request
I have communicated with my leaders regarding this request for exception.

I have communicated with my leaders regarding this request for exception. Yes

Communication with leaders is required for exception approval
You will be contacted if your petition is not approved.
Type the letters you see in the image below.

Petition for Policy Exception

Petition for Policy Exception

You will be contacted if your petition is not approved.