Request an Exemption for Early Return
Request an Exemption for Early Return
Full Name
Full Name
*
First
Last
Email
*
Department/Office
Supervisor's Name
Supervisor's Name
*
First
Last
Supervisor's Email
*
Campus
Blue Ridge
Cumming
Dahlonega
Gainesville
Oconee
Building
*
Room/Office Number
*
Reason for exemption request.
*
If this is a shared or open space, please detail how you plan to comply with social distancing requirements.
*