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Midterm

UCI MATH 2A makeup_request_ss218Exam


Department
Mathematics
Course Code
MATH 2A
Professor
All
Study Guide
Midterm

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Math 2A/2B Final Exam Make-Up Request
Name: ______________________________
ID#: ________________________________
E-mail address: _______________________
Math 2A/2B Instructor: _________________
Section Course Code: ___________________
Reason for requesting to take the make-up exam (please check one, provide additional requested
information when indicated, and provide detailed explanation in the box below):
Note: Vacation plans or other social engagements will not be considered as legitimate excuses.
Religious
Your religious affiliation: _____________________________________
Employment
Name of employer (attach letter from employer stating the consequence of
you not working Wednesday, September 12th 5-7PM):______________________
Child Care
Normal working hours of your childcare provider: __________________
Transportation
Other
For all of the above, please explain your reason in more detail below; use the back if
necessary (request forms missing adequate explanation may be automatically rejected):
Make-Up Exam Time: Thursday, September 13th, 9-11AM in Rowland Hall 340P
****Return this form to Mike Vo, the Mathematics Undergraduate Program
Coordinator’s Office in Rowland Hall 340B by Friday August 24th (LATE REQUESTS
NOT ACCEPTED!). If you have a last minute emergency, such as personal illness, injury
or death of an immediate family member, please contact Dr. Rachel Lehman
(rlehman@math.uci.edu) as soon as possible to discuss make-up final examination.****
Granted
Denied
Signature and Date
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