Self-reporting of absence from class
Please submit this form if you will encounter an excused absence from class for a reason consistent with college or U of M policy.

Students experiencing a brief illness (1-2 days) that does not conflict with exams or required coursework need not fill out this form.

OSS staff will notify faculty of your absence, but please know that it is the student's responsibility to initiate a discussion with course faculty to arrange for make-up work as a result of the absence.

Please be sure to follow guidance on the College of Pharmacy's "Class Attendance Guidelines" document.
Email address *
Your name *
Your answer
Starting date you will be absent. *
MM
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DD
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YYYY
End date you will be absent (indicate "unknown" if this is undetermined at this point) *
Your answer
Please indicate the reason for your absence *
The reasons for excused absence below are based on college and U of M policy. If your reason does not appear on this list, then you will need to consult your course faculty directly for approval of an excused absence.
By stating my name below and submitting this form, I verify the information is accurate and true. I understand that any false or misleading information presented will be referred to the Honor Council for review and potential sanction. *
While 3rd party verification is not required for sporadic absences, students with a pattern of absences may be required to produce documentation from a 3rd party that verifies absences.
Your answer
A copy of your responses will be emailed to the address you provided.
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