PROFESSIONAL DPT PROGRAM
STUDENT NOTICE OF ABSENCE FORM
Nova Southeastern University’s Physical Therapy Progam policy states that attendance at all scheduled
instructional and clinical sessions is mandatory. Students shall report absences to the program, including the
reason for the absence, as soon as possible. Students whose reasons for absence are unacceptable may be
subject to disciplinary action. Absences are excused only for illness/injury or special circumstances, which are
evaluated on an individual basis. Absence for any other reason is considered unexcused. Unexcused absences
are neither a right nor an entitlement of the student. Students are responsible for all material/content/work
missed during both excused and unexcused absences. Please refer to the Test Administration policy for the
implications of being absent during an examination.
Section 1: Student Information
Absence Dates(s)
Student First and Last Name
Provide a description below of the reason(s) for absence:
Provide a statement below outlining your plan for missed work:
Student Signature
Section 2: Faculty Signature and Comments
___________________________________________________________________________________________
_____________________________________________________________________________________
Faculty Signature
Date Signed
Date Signed
Program Director Signature
Faculty Comments:
Comments:
__________________________________________________________________________________________________________
Section 3: Program Director Signature and Comments
Type of Absence:
Excused (illness)
Excused (special)
Unexcused
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signature
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signature
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signature
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