SLBC Logo

SLBC MOODLE
Waiver and Special Request Form




We thank you for taking the time to contact us. We will answer your request as soon as we can.

~SLBC Staff~



Please read about our various waiver/requests BEFORE submitting the form below. (You can find more information on the options below at: Special Requests AND Waivers. )



The waivers and requests you can make from this form are:

Office Hours

Monday - Friday

10:00am - 10:00pm

Salt Lake City, UT, USA

It is currently:

  • Demerit Revocation
    You must provide sufficient explanation to excuse the error. NOTE: MUST submit requests on a PER ITEM basis. Otherwise, the submission will be discarded.

  • Extended Absence
    MUST be sent in beforehand, otherwise you will run the risk of your account being removed due to inactivity!!

  • Request Transcripts
    (From SLBC to either you or to someone else such as your church or another college.)




*TODAY'S Date:  *.   *.  
*Which Branch: 
*Student ID Number:
This is your Student ID number not your Moodle username!! (Your Student ID can be found on your profile page on Moodle.) THIS IS REQUIRED!!

Student ID numbers are 18 characters long, and look like this: XxxxXxxxXxxx###### (12 letters, 6 numbers).

*First Name: *Last Name:
*Email: *Verify Email:
*Your BIRTH Date:  *.   *.  
*Mother's Name:
Note: Birth Date and Mother's name are for confirmation purposes ONLY, and MUST match the information we have on file for you.




*Type of Request: 
*Reason for Request: