Boston Graduate School of Psychoanalysis
1581 Beacon Street Brookline, Massachusetts 02446
Phone: (617) 277-3915 Fax: (617) 277-0312
Dear Date
(Instructor Name)
This is to inform you that I am unable to attend the class meeting indicated and to
request an excused absence. I understand that the communication does not excuse me
from the responsibility of submitting a log or other requirements for the class and
making up material that was missed.
Course ___________________________________ Date of Class __________________
Reason:
Print Name:
Signature:
Submit form to instructor(s)
Absence Request Form
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signature
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