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Excused Absence Request Form

* Please complete the required fields.

Be sure to submit any supporting documentation to the Dean of Students in Miller Campus Center 229. You must request an excused absence within five (5) class days from the day you return to classes.

Remember you must make up the work!

Contact Information

Please enter your 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 a campus address.
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 list submitted docs.

Please list the instructors and their email address you like us to notify. Only instructors listed will be notified of an excused absence issued on your behalf.

Instructor #1


Instructor #2


Instructor #3


Instructor #4


Instructor #5


Instructor #6