Attachment I
REQUEST FOR AN
EXCUSED ABSENCE
Student Name: ________________________________
TxState ID__________
Print
Name
Name of
Organization_______________________________________________
Event___________________________Date/Time_________________________
The above named student will be
involved in an officially sanctioned university event, and will be unable to
attend the classes on the dates and times listed below. Please grant this student an excused absence
for the class sessions indicated.
Course Class Date(s)
Course Name Number Instructor Meeting
Time of absence
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
This request must be signed by the
advisor or director of the organization sponsoring this event.
_____________________________Please
print___________________________
Signature, Advisor/Director Advisor/Director
Advisor e-mail_________________ Phone
#_____________Date_____________
TO THE INSTRUCTOR:
To verify the authenticity of this
request, please go to https://sa.txstate.edu/excusedabsence where you will find
a listing of all officially sanctioned university events that have been
registered. If an event is not listed,
or if the form is not signed, this request may be invalid. Please reference UPPS No.
02.06.03 to review the official university policy. Questions may be directed to the Dean of
Students office at 245-2124.
_____________________________Please print___________________________
Signature, Instructor Instructor