Supplemental Attendance Form
Use this form to record additional or make-up attendance for a class, event, or session.
Full Name of Attendee
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Student or Employee ID (if applicable)
Course, Event, or Session Name
*
Original Scheduled Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Supplemental Attendance Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Supplemental Attendance
*
Please Select
Missed original session due to illness
Missed original session due to emergency
Scheduling conflict
Instructor request
Other (please specify)
Additional Comments or Explanation (if needed)
Supervisor or Instructor Name
*
Upload Supporting Documentation (if required)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Supplemental Attendance
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