Request an Excused Absence

This form should be used by students to request an excused absence.

Submit one form for each day/date that classes are missed. For illness or injury, this form must be submitted within 24 hours of missing class.

Date of Absence*
MM
DD
YYYY
Student ID*
Name*
First Last
Email*
Mobile Number*
Your Advisor's Email*
Document Upload
Website or Link related to your absence
Obituary, Conference website, etc.
Reason for the Excused Absence*
Classes Missed
Insert the Course, Professor Name and Professor Email for each class missed
Comments