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Please read the entire Chapel Exemption Policy before completing this application. Full name:*Maiden name (if applicable):Student ID:*Date of Application: MM DD YYYY MBU Email* Must be @mobap.edu email - all communications will go through this email.Phone (including area code)*Applying for:*Full exemptionSpecific chapel exemptionDate If requesting a specific chapel exemption, what is the date of the chapel?Requesting exemption for which semester?*Fall 2017Spring 2018Residence during requested semester?*On campusOff campusAddress Street Address City State / Province / Region ZIP / Postal Code If off campus, please provide address:Classification during requested semester of exemption:*FreshmanSophomoreJuniorSeniorFifth-Year SeniorWhen was your first semester at MBU?*FA 17SP 17FA 16SP 16FA 15SP 15FA 14SP 14FA 13SP 13FA 12SP 12FA 11SP 11Prior to SP 11What is your expected semester of graduation?*FA 17SP 18FA 18SP 19FA 19SP 20FA 20SP 21After FA 21Are you a transfer student?*YesNoHave you received a chapel exemption previously?*YesNoChapel is generally from 11 - 11:55 a.m. every Thursday and every first Tuesday of the month. Do you have class immediately before or after chapel during the requested semester of exemption?*YesNoWhy are you applying for chapel exemption? Please be specific.* If you are employed, please complete the following information (we may call your supervisor to verify your work schedule).EmployerEmployer address:Supervisor's name (first and last):Supervisor's PhoneHow many hours per week do you work outside the home?Additional employer information (if you have more than one employer) A letter from your employer is required in order for exemption to be approved for work. Please bring the letter into the Student Development Office or scan and attach here.Accepted file types: jpg, png, pdf.File must be a .pdf or .jpg.