UNIVERSITY OF WARWICK
RELIGIOUS OBSERVANCE FORM (EXAMINATIONS)
IMPORTANT: Please note that while the University will make every reasonable effort to avoid the
times/dates in your request, owing to the logistical constraints and difficulties involved in scheduling a
very large number of examinations involving many thousands of students within a limited number of days,
it may prove impossible to avoid those times/dates for your examinations, in which case it may be
necessary to ask the relevant University chaplain and/or your academic department to see if they can
make any alternative arrangements for you. Submission of this form does NOT mean that your
examinations will definitely not be set on the dates/times you would wish to avoid.
Personal Details:
(Please print clearly)
Student ID
Number:
School or Dept:
Full Name:
Personal Tutor:
Year of Study:
Term Time Address:
Telephone
Number:
Degree
Programme:
E-mail:
Religion:
University Chaplain (or equivalent):
Please indicate the dates/times that you would prefer to avoid for examinations:
Date(s)
Student Signature:
Reason for request
………………………………………………………………………………
Date: …………………………………………………
Please make sure your module/exam registration is correct before submitting this form. To ensure that your academic
department is aware of your request, please obtain the authorisation of your Personal Tutor or Departmental
Examinations Correspondent (or equivalent) below.
Authorisation by Personal Tutor or Departmental Examinations Correspondent (or equivalent):
I can confirm that I support the above student’s request to avoid the dates/times indicated for reason of religious
observance.
Position:
………………………………………………………………………………
Signature:
………………………………………………………………………………
Date: ………………………………….………
Completed forms should be submitted by not later than 1st February to: Examinations Section,
Academic Office, University House.
Please note that late submissions will NOT be accepted.