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Northwest Missouri State University

  • myNorthwest

Request for Excused Absence

Requests will be sent only in instances where 2 or more consecutive days will be missed for extenuating circumstances or one day for approved University sponsored events. In all other instances, students are encouraged to communicate directly with their faculty members.

*Date of Absence: through
*Name:
*919#:
*Northwest Email:
*Phone:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Reasons/Comments:

Illness
Significant Family Issues
Medical Emergency
Funeral

If other, describe:

If university event, describe:
Name of Event:
Name of Sponsor:

Attach class schedule or list the course(s) and faculty members impacted
by the absence:

Class
Day
Time
Faculty

Send or bring appropriate documentation (e.g. Student Health Service form, doctor's excuse, funeral information, etc.) to the Office of Student Affairs, JW Jones Student Union.

I understand that I will be responsible for all curriculum content during my absence and that it will be my responsibility to contact my faculty to find out what information/requirements I will need to make-up and the deadline for doing so.

 

*Student Signature: