AEΔ Attendance Exemption Form

I, ______________________ am requesting exemption from the attendance requirements for

Alpha Epsilon Delta-Beta Chapter for the period

[ ] Fall 2009

[ ] Spring 2010

I understand that there may be supplemental requirements for my continued membership, to be

resolved with the Membership Chair or the President.

I am a [ ] Member [ ] Pledge

I seek exemption on the following grounds

[ ] Class conflict- Class: ___________________

[ ] Club conflict- Club: _____________________

[ ] Work

[ ] Other:
______________________________________________________________

__________________________________________________________________

__________________________________________________________________

Please return this form, either via email or in person, by Tuesday, September 8th after the start
of classes.

Sign: ______________________________