Chapel Reduction Form

CHAPEL REDUCTION APPLICATION

To submit this form, students must meet with University chaplain once it is completed. Due within the first 2 months of semester
- Chapel is an integral part of the Christian liberal arts educational experience at Roberts. Spiritual development through Chapel participation is considered as important as class participation. Each student is expected to attend regularly & earn: Freshmen/Sophomores/Juniors: 20 Spiritual Life credits /sem. and Seniors (90+ academic credits) : 10 Spiritual Life credits/sem. Students 23yrs + are exempt from chapel credits.
- This application is for extenuating circumstances or the occasional semester when a student may have employment or off-campus academic experiential commitments that are unavoidably scheduled during Chapel hours and make earning 20 Spiritual Life credits (or 10 for Seniors) impossible.
Student Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Housing Location (Pick One):
What Semester did you start at Roberts? (i.e. Fall 2024)
Student Status (Check One):
Follow these steps:
1. Select the appropriate options below (A,B,C) to fill out.
2. Complete your schedule in the schedule builder below
3. Request your supervisor(s) to complete the appropriate section(s)
Option A: OFF CAMPUS ACADEMIC INTERNSHIP/STUDENT TEACHING/NURSING CLINICAL/OPE

OFF CAMPUS ACADEMIC INTERNSHIP/ STUDENT TEACHING/NURSING ClNICAL/OPE that conflicts with MWF chapel times and this students ability to earn full # of spiritual life credits.
Course Code:
This assignment is for (Check One):
If you selected Other please describe:
Date Off campus assignment begins:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date Off campus assignment ends:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Students required # total hours/semester for assignment:
Internship/Employment Verification

Superviser information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Option B: Employment or NON-ACADEMIC INTERNSHIP

EMPLOYMENT OR NON-ACADEMIC INTERNSHIP that conflicts with your ability to meet the full Chapel attendance requirement, please complete the information below.
Off-campus place of employment:
On-campus employment dept./office:

Scheduled times each day (i.e. 2pm-5pm)

Rows	Scheduled Times
Monday
Tuesday
Wednesday
Thursday
Friday
Wknd
Total Hrs/week

Internship/Employment Verification form upload.

Please fill out the supervisor verification form and upload it below. By uploading this form the student and supervisor are verifying all information is correct.
Cancelof
Option C : Commuters

Commuters are NOT exempt from Chapel attendance. If you DO NOT have Mon./Wed./Fri. CLASSES near Chapel time, you may request an attendance reduction. Please complete you CURRENT SEMESTER academic & co-curricular schedule below.
Address (Please List the complete address of where you reside this semester:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CLASS, EMPLOYMENT AND ATHLETIC TEAM SCHEDULE BUILDER

Please list your: MWF classes, employment schedule and off campus academic obligations. If you request for reduced attendance is based solely on class schedule, be specific/include details and please indicate this below in the 'ADDITIONAL NOTES' section below this schedule builder. And please reference specific day(s) for your request.

Rows	Monday	Wednesday	Friday
8:00a - 8:50a
9a - 9:50a
10:00a - 10:50a
11:00 - 11:50 Chapel (NO CLASSES)
12:00p - 12:50p
1:00p - 1:50p
2:00p - 2:50p
3:00p - 3:50p
4:00 - 4:50p
5:00p - 5:50 (6:15p)
6:30p - 7:45p
8:00p - 9:15p (10:00p)

Please list your: Tuesday/Thursday classes, employment schedule and off campus academic obligations. If you request for reduced attendance is based solely on class schedule, be specific/include details and please indicate this below in the 'ADDITIONAL NOTES' section below this schedule builder. And please reference specific day(s) for your request.

Rows	Tuesday	Thursday
8:00a - 9:15a
9:25a - 10:40a
10:50a - 12:05p
12:15p - 1:30p
1:40p - 2:55p
3:05p - 4:20p
4:30p - 5:20p (5:45p)
5:30p - 6:20p
6:30 - 7:45p
8:00p - 9:15p (10:00p)

ADDITIONAL NOTES
If you request for reduced attendance is based solely on class schedule, be specific/include details.
Should be Empty:

CHAPEL REDUCTION APPLICATION

Follow these steps:

Option A: OFF CAMPUS ACADEMIC INTERNSHIP/STUDENT TEACHING/NURSING CLINICAL/OPE

Internship/Employment Verification

Option B: Employment or NON-ACADEMIC INTERNSHIP

Option C : Commuters

CLASS, EMPLOYMENT AND ATHLETIC TEAM SCHEDULE BUILDER