Request for Approval of Special Examinations to be Given During the Semeste

at times other than regularly scheduled class hours

FROM: Dept: ____________ Contact Person: _______________

Date: _____________ (Page ____ of ____)
Pho
TO: CHAIRPERSON, UNIVERSITY CALENDAR COMMITTEE list more examinations.
(Submit in care of Office of the University Registrar-KU Visitor Center, Room 220, by the due date indicated below.)

TERM: [ ] Fall, 20____ Submission Due Date: January 8 for examinations to be given the following Fall Semester
[ ] Spring, 20____ Submission Due Date: August 3 for examinations to be given the following Spring Semester

WE REQUEST APPROVAL TO SCHEDULE THE FOLLOWING EXAMINATIONS:

Course Requested Requested Number Number of Estimated Reason*
Number Exam Dates Day of Time (5:50-7:50 p.m. Rooms / Buildings** of seats Sections Total En
(List one / line) (List one / line) Week or 8-10 p.m.) to be reserved (be specific) n
per Course footnote)

________ __________ ________ ______- ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______

________ __________ ________ ______ - ______ _____________________ ________ ________ ________ _______
* Indicate reason(s) above for scheduling these examinations.
A. To replace one normal class meeting time with a common examination for a multiple section course.
B. To replace one normal class meeting time with an evening examination period of longer duration.
C. Other, attach explanation on additional sheet.
** If requesting an auditorium and you need any services other than the lights turned on and the room
unlocked, you must contact Classroom Support at 864-1200. 09/16