Fillable EMU Student Absence Notification Form

Fill Online, Printable, Fillable, Blank EMU Student Absence Notification Form Form

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EMU Student Absence Notification Form

On average this form takes 7 minutes to complete

The EMU Student Absence Notification Form form is 1 page long and contains:

  • 1 signature
  • 3 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Eastern Michigan University

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Student Absence Notification Form
**Official documentation required with form**
Name(print):
__________________________________
EID#
:
_____________________
Local Address:
__________________________________
Phone#: __________________
Email:
_________________________________
On-campus employment location and contact:
Course Name (e.g. MAT 110) Faculty Name (first and last name)
First Date of Absence___________________ Anticipated Return Date________________
Reason for Absence:
Medical Issue/Emergency
Death in Family(indicate relationship) _____________________
Personal Emergency
Explain:
I understand that this absence notification does not automatically excuse my absence. It is my responsibility
to contact each professor to ask what, if any, accommodations can be provided for the course time missed.
Student Signature
:__________________________
Date
:________________________________________
Return this form, the confidentiality waiver, and documentation to the
Dean of Students Office: EMU main campus, Snow Health Center
Office 315
Telephone (734)-487-1107
Fax (734) 481-0050 or emu_deanofstudents@emich.edu
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EMU Student Absence Notification Form

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Completed 1 February 2020

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