Request for an Excused Absence or Excused Late
1. Your Name: _____________________
2. Course Title: ____________________
3. Scheduled Days and Hour of the Course: ________________
4. Today’s Date: _______________________
(Must be submitted no later than 1 week after the absence or late.)
5. Excused Absence for the Date of ___________ or Excused Late for the Date of __________
Type of Documentation (attach):
This section will be returned to you if your request is not approved.
Excused absence or late for the date of _______________ was not approved.