Revised 10/08/2018
DELTA STATE UNIVERSITY
EXCESSIVE ABSENCE REPORT
Faculty Member: _____________________________________ Date: _________________________
Department: _________________________________________
List below students with absences greater than 25% to be cut out from your course. Each students will be notified of this action by Academic Affairs.
As a result, the student will receive a recorded grade of “F” for the course.
***Send this completed form to the Provost/Vice-President for Academic Affairs, Kent Wyatt Hall 228, Campus
FACE-TO-FACE COURSES:
Students Name
Last, First
Identification
Number
Course
CRN #
Course &
Section Number
Maximum # of
Absences
Allowed
Actual # of
Absences
Last date of
recorded attendance
or academic activity
ONLINE COURSES:
Students Name
Last, First
Identification
Number
Course
CRN #
Course &
Section Number
Maximum # of
Inactive Weeks
Allowed
Actual # of
Inactive
Weeks
Last date of
recorded attendance
or academic activity
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