ABSENCE'FROM'ASSIGNMENT'
'
Name%__________________________________________________%Date%__________________%
Date(s)%of%expected%absence:%______________________________________________________%
Assignment(s)%missed:% ______________________________________________________%
% % % % ______________________________________________________%
% % % % ______________________________________________________%
Reason%for%absence:%
%
%
%
%
Substitute,%other%arrangements,%experiences,%etc.:%
%
.%
%
%
%
My'division'leader'has'been'informed'of'my'plans.'
_______________________________________%
% % % % %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Faculty%Member%
%
Approved%by%Chair%_____________________________________________%Date%____________%
Approved%by%Dean%_____________________________________________%Date%____________%