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