Absence Appeal Form (Cut-Out)

BEFORE you submit this form, it is ALWAYS beneficial to have a conversation with your instructor(s) regarding your absences and recommendations on moving forward. Also, this form is not for any single absence; it is for if you have the maximum number of absences for any single class.

Please complete a separate form for each course you are appealing to begin the absence appeal process. This form will be sent to the appropriate Dean or Associate Vice President based on your answers.

Tips: Check your class syllabus and online course schedule for instructor information.
Double-check your email address spelling to ensure you receive the decision of your absence appeal.
For academic courses: If you have not been officially dropped/cut out from a class by your instructor, do not submit this form. Speak with your instructor about your absences.

Student Name Student Name First Last
Student ID
Must be between 5 and 6 characters. Currently Entered: 0 characters.
Student Email
Student Phone Student Phone - ### - ### ####
Course Name
Does student live in a residence hall on campus?

Does student live in a residence hall on campus? Yes No
Instructor Name Instructor Name First Last
Instructor Email
School of Instruction
Course Location
Reason for Missing Deadlines
Is Documentation Available to confirm the issues described above? If so, please upload that documentation here.

Attach Files
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Full Name

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Date Date / MM / DD YYYY