Friday/Saturday Absence Request Form

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If approved, this form dismisses the charge for the requested day. Students are required to make-up the missed hours. This form must be completed a minimum of 2 days before the day of absence. Submission of form does not automatically mean approval. Your Program Director and/or the Director of Education will approve your form.

Email *

Which campus do you attend? *

NLR

WLR

ABS

First Name, Last Name *

Today's Date *

YYYY

Phone Number *

Date you are requesting an excused absence? *

YYYY

Reason for request *

Medical (Doctors orders)

Death in family

Medical (illness or injury/ no doctors care required)

Religious Observance

Family emergency

Other

If you chose other, please provide a short explanation. Type N/A if no explanation is required *

Submit

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