Fillable P-F2.05 LAMAR STATE COLLEGE PORT ARTHUR REQUEST TO (Lamar State College)

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P-F2.05 LAMAR STATE COLLEGE PORT ARTHUR REQUEST TO (Lamar State College)

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P-F2.05
LAMAR STATE COLLEGE – PORT ARTHUR
REQUEST TO BE ABSENT FROM ASSIGNED SCHEDULE
Name ____________________________________________ Date _______________________
Department/Program ______________________________________________________________
Date of Absence: From ____________________________ To __________________________
Reason for
Absence: _____________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
CLASSES TO BE MISSED
Course Prefix
No. & Section
Time Assignment
Instructor
In Charge
_______________________________________
Signature
Recommended By: ______________________________________
Department Chair
Approved: ______________________________________
Instructional Dean
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P-F2.05 LAMAR STATE COLLEGE PORT ARTHUR REQUEST TO (Lamar State College)

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Completed 30 July 2020

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