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Class Conflict Form

This form must be submitted during the first week of classes.

Submission of this form completes a REQUEST and does not mean you will be excused. Check your email for a response.

All fields are required.

Contact Information

First Name:
Last Name:
Northwest Email: (complete in full)

Conflict Information

Which ensemble(s) is your absence request is for? Bearcat Marching Band
Symphonic Band
Day(s): Monday    Tuesday    Wednesday    Thursday    Friday
Class Course Number:
Class Start Time:
Class End Time:

Is this class only offered during the current semester?                 Yes    No

Is this class only offered at this specific time?   Yes    No

Are all other sections of the class full?             Yes    No

Is this class required for your major?                Yes    No

  I acknowledge and can provide evidence that I have exhausted every avenue to prevent this class
     conflict including, but not limited to registering for another section and emailing the professor of a
     filled section.