Please be sure to complete this form prior to the time that any class is to be missed. Your department chairman will note the arrangements that have been made. Every effort should be made to meet every class session; however, if you are not able to meet a particular session for whatever reason, this information is needed in order to respond to inquiries regarding the classes. Your help in this matter will be appreciated.
Date: May 23,2013
Name:
Please complete for each class that will be missed.
Please enter the arrangements you have made for your classes.
Please select your department, so this form will be emailed to your department chair.
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