Official University-Excuse Absence Form*
*Not applicable to University Athletics absences. Student athlete absences
are communicated by memo from the respective Athletics office.
Faculty or Staff Sponsor:
_______________________________________________________
Title/Department:
_______________________________________________________
E-mail and Campus extension: __________________________________________________
Activity and related educational value: (may be documented by attaching a copy of the course
syllabus with activity highlighted)
The following student(s) will be participating in this activity:
Date/time of activity/absence: _______________________________________________
Faculty/Sponsor signature: _______________________________________________
Department Head signature: _______________________________________________
Academic Dean signature: _______________________________________________