Phys 2109 lab change request form

*First Name

*Last Name

*Email Address

Chose the lab section in which you are currently enrolled:

Chose the lab times you can switch to:

If none of these times work, explain why

For which week are you requesting a switch:

Which kind of excused absense do you have:

IllnessSerious family emergency (includes assisting family with flood relif)Special curricular requirements Court-imposed legal obligationMilitary obligationParticipation in varsity athletic competition or university musical event (documentation required)Religious observanceOther

*Please explain why you are absent

I authorize that all information provided on this form, including any and all personal, financial and academic data may be shared with the 海角社区 Department of Physics & Astronomy to facilitate the information provided. This data will be securely retained indefinitely. To learn more about privacy at 海角社区, please see the 海角社区 Privacy Statement.

*Data Consent

I Authorize

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