Request for Religious Observance Accommodation Form

In accordance with the Religious Inclusion Policy, Gettysburg College will provide reasonable accommodations for students, faculty, administrators, and support staff to participate in the observance of major religious holidays of organized religions, except where accommodating the request would result in undue hardship to the College in its mission, operation or in meeting its academic standards.

If you would like to request a reasonable accommodation, please complete this form and submit it to your course instructor, department chair or supervisor as soon as possible, but no later than the drop/add period for students. For further information regarding this procedure, please see the Religious Inclusion Policy.

(*) denotes required information.

* First name:
* Last name:
* Email:
* Please specify the religious belief/practice for which you are requesting accommodation:
* Please describe what specific accommodation you are requesting at this time:
* Please state the date(s)/frequency of the requested accommodation:

Course designation for requested accommodation:
Professor's name:
Professor's email:

Athletic event for requested accommodation:
Coach's name:
Coach's email:

Department for requested accommodation:
Supervisor's name:
Supervisor's email:

* The above information is complete and accurate to the best of my knowledge.

Click the "Submit" button to send this form to your professor, supervisor, coach, etc. at the email address(es) you provided above.