Rescheduling of an Exam Conflict

I am applying for a Request for Special Exam Accommodation for the  --Select-- Winter Fall Spring Summer   Semester* and  --Select-- 2019 2020 2021 2022 2023 2024 2025   Term* .

First Name*  

Last Name*  

Student ID Number*  

Division  
----- LD1 LD2 LD3 LE1 LE2 LE3 LE4

Address*  

State  
-- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

City*  

Zip*  

SHU Email*  

---

EXAMINATIONS

** List all of your in-class examinations in date order.

In-Class Examinations

Date**	Time	Course # (PUBG7801MM)	Course Name (Administrative Law)	Professor

Reason for Rescheduling

According to the Conflicts Policy, one of the following criteria must exist in order to request an examination be rescheduled:

**(Two examinations over two consecutive days scheduled more than 24 hours apart is not a conflict.)

The date of a rescheduled examination will be as close to the originally scheduled date as possible.  For examinaitons rescheduled under either Rule 1, 2 or 3, ordinarily the second examination will be rescheduled to a later date.