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.
Starting date you will be absent.
End date you will be absent (indicate "unknown" if this is undetermined at this point)
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.
illness, physical or mental, of the student or a student’s dependent;
medical conditions related to pregnancy;
participation in intercollegiate athletic events;
bereavement, including travel related to bereavement;
participation in formal University system governance
Family emergency, such as emergency care of a dependent or spouse, or attending to an emergent life-threatening illness of a close family member.
Parental leave (not to exceed three weeks, unless medically necessary) for pregnant students, students with a pregnant spouse, and new adoptive parents.*
Participating in mandatory U.S. citizenship/naturalization appointments for the student, spouse, or immediate family member.
Unforeseen and unavoidable changes to childcare or dependent arrangements (eg. daycare closed with late notice).
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.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of University of Minnesota Duluth.