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Excused Absence Request Form

* Please complete the required fields.

Please see http://www.canton.edu/dos/absences.html for information about our excused absence policy.

Contact Information

Please enter your first name. Please enter your last name. Please enter a number. Please use XXXXXXXXXX. Please enter an email. Invalid email. Please enter an email. The emails don't match. Please enter an address. Please enter a city. Please enter a state.
Please enter your college ID. Please enter a number.

Students may be excused from classes (including quizzes and hourly examinations) for the following reasons: family emergencies (i.e. death of a family member), medical emergencies (i.e. hospitalization, emergency room visit). All others remain between you and your faculty member(s).

Please enter a time.

Please note that any documentation that is needed in order to review your request can be emailed to bish@canton.edu, faxed to 315-386-7990, or brought in person to Miller Campus Center 225- Dean of Students’ Office. We will not be able to review your request until the documentation has been submitted. All documentation must be submitted, along with this form, within 5 class days of the missed class(es).









Please list the names and email addresses of the instructors that you would like us to notify. Only instructors listed with a current SUNY Canton email address will be notified of an excused absence issued on your behalf. If you leave the name or email section blank, we will not approve the absence.

Instructor #1



Instructor #2



Instructor #3



Instructor #4



Instructor #5



Instructor #6



All excused absences will be reviewed and you will receive a response at your SUNY Canton email address within 3 class days of the date that you submitted this form and provided any necessary documentation to the Dean of Students’ Office. If you have questions about this process, please email bish@canton.edu.