Office Use Only Office Use Only Chem ________________ Grade________________ Lab Grade____________ Lab#________________ Processed by__________ Date________ General Chemistry Lab Waiver Form For: General Chemistry 110, 111, and 112 only If your Spire record shows that you received an “F” in the course previously, YOU MUST REPEAT THE LAB along with the lecture. Your previous lab grade is recommended to be above “80” to use the lab waiver. Name: _______________________________________________ Spire ID #: __ __ __ __ __ __ __ __ Email address email@example.com Lecture (5 digit number) __ __ __ __ __ In lieu of retaking the lab portion of 112 this (choose one) Chem 111 Summer 201__, (choose one) Summer I agree that my previous lab grade (from UMass Amherst only) Summer Summer of 201__ will be used as the lab grade for this semester. I understand that, while I will not be doing the lab work, I WILL BE RESPONSIBLE FOR KNOWING THE LAB MATERIAL FOR THE EXAMINATIONS. It is highly recommended that you review the lab OWLS. By entering your initials here _______, this is your consent to accept your previous lab grade. Once this is filled out, save it as a PDF and email the PDF to Seung-eun Lee, firstname.lastname@example.org using your student email (…@umass.edu) only!