Basic Information

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* 1. First and Last Name

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* 2. Chapter/School (example Gamma Triton/University of South Carolina)

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* 3. Officer Position

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* 4. Email Address

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* 5. Phone Number

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* 6. Please select the timing of your conflict:

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* 7. Select the reason(s) you are requesting a waiver

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* 8. Please give an explanation for your reasoning.

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* 9. When did you become aware of this conflict?

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* 10. If you need to arrive late, when is your anticipated arrival? Please provided day and estimated time. 

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* 11. If you need to leave early, what time do you need to leave? Please provide day and estimated time. 

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