SPIRITUAL LIFE CREDIT ADJUSTMENT
Form must be completed in full and returned to the Campus Ministries Office
Please attach an official copy of your spring 2016 course schedule from Self Service.
Adjustments will not be considered without a course schedule.
DEADLINE: FRIDAY, JANUARY 15, 2016 (ADD/DROP DAY)
Name _________________________________________ Student ID# ________________________
Email _________________________________________ Phone #_____________________________
Major _________________________________________ Advisor _____________________________
Class standing this semester:
Living Accommodations:
Freshman
Res Halls
Sophomore
Junior
On-Campus Apts/FIRS
Senior
Off-Campus
I am requesting a Spiritual Life (SL) credit adjustment for the following reason(s):
I live off-campus with no classes between 8:00am & 1:30pm on chapel days.
Address: _____________________________________________________________________
______________________________________________________________________
I am a parent, do not have classes between 8:00 am and 1:30 pm on chapel days,
and am responsible for caring for my small child(ren) during chapel hours.
Please list number and ages of children, along with a brief explanation of why your care
is required during chapel hours.
______________________________________________________________________________________
______________________________________________________________________________________
I have a major-required clinical/internship during chapel hours.
Advisor’s Signature (REQUIRED): ______________________________________________________
I need to enroll for courses that conflict with BOTH chapel hours.
Course Title(s) and Number(s): _______________________________________________________
REQUIRES review and signatures from:
Academic Success and Advising Center _______________________________________
Office of the Provost __________________________________________________________
Other situation not covered above
Please attach a full explanation of the details of your petition.
Adjustments are not available for work schedules, ministry positions, other church
attendance, internships, homework, busy schedule, lunch, and/or study purposes.
Student Signature ___________________________________________ Date ________________________
Northwest University Campus Ministries believes that spiritual vitality is best
accomplished through investment in four areas: 1) Personal devotional life (Scripture
reading and prayer), 2) Relationships (encouraging one another’s relationship with God),
3) Congregational gatherings (coming together as a community to worship, pray, and
learn together), and 4) Global experiences of evangelism and service. It is our aim to
provide opportunities for all 4 areas of spiritual vitality within the NU community.
Estimate the number of spiritual life credits you can achieve (35 required):

Pursuit services (8:30-10:00PM, Mondays):
Out of 12 opportunities, I can attend ______________________ Mon. Pursuit services

Chapel services (10:00AM or 11:20AM, Wednesdays & Fridays):
Out of 26 opportunities, I can attend _______________________ W/F chapel services

Life Groups (Mondays, 10:00AM or 11:20 AM or other times, 1 credit per week):
Out of 16 opportunities, I can attain ______________ SL credits through Life Groups
Additionally, Campus Ministries will hosts and give Spiritual Life credit to at least 5
special events this semester, including Pursuit Conference, January 25th-27th.
Out of 59 Spiritual Life credit opportunities, I estimate attaining _______ credits.*
*This estimation is not a guarantee that you will receive a spiritual life credit
adjustment, but will be taken into consideration by the Chapel Committee when
reviewing your request.
Things to Consider
1. Students are expected to arrange their schedule to meet the required days of chapel
attendance, including arranging childcare.
2. Chapel is a graduation requirement of the Assemblies of God Commission on Higher
Education.
3. If requesting an exemption where the standard conditions do not apply, please explain
your situation in full detail.
4. Students are expected to attain the required amount of attendance credits.
Opportunities to gain credits include Chapel, Pursuit, Life Groups, and other special
events approved by the Campus Ministries office.
FOR CAMPUS MINISTRIES STAFF USE ONLY
Exemption Request (date)
___Pending (___/___/___)
Days approved
Notification (date)
_____ Full
_____Student: Phone (___/___/___)
_____ Mondays
_____Email (___/___/___)
_____ Wednesdays
_____Mailbox (___/___/___)
___Approved (___/___/___)
___Denied (___/___/___)
2
_____ Fridays
_____ Total # of days
_____Registrar’s Office (___/___/___)