Student Class Excuse Request Form
Submit your request to be excused for a class absence. Please provide accurate and complete information for timely review.
Full Name
*
First Name
Last Name
Student ID
*
Contact Email
*
example@example.com
Course Name or Code
*
Instructor Name
*
Date of Absence
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Class Session Missed (e.g., Lecture, Lab, Seminar)
*
Please Select
Lecture
Lab
Seminar
Discussion
Other
Reason for Absence
*
Illness
Family Emergency
Personal Reasons
University Activity
Other (please specify below)
Please provide a brief explanation (if needed)
Upload Supporting Document (if available)
Upload a File
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Choose a file
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Additional Comments or Information
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