Undergraduate Excused Absence Request

Before filling out this request, be sure to read the School's official Excused Absence Policies.

This form is intended for undergraduate students only. Graduate students should speak with their professors individually, or contact the Office of Graduate Studies with any questions.

Please note: All fields with an asterisks (*) are required in order for this form to be processed. This request and all supporting documentation must be submitted to the Office of Academic Affairs at least one week in advance of the professional obligation. If you are experiencing technical difficulties, please contact the Office of Academic Affairs at (585) 274-1020.

About You:

Name*:

Student ID (must be 8 digits)*:

Email*:

Phone Number:

Private Teacher/Faculty Advisor*:

Absence Details:

Reason for your requested absence*:

See 'Excused Absence Policies' for more details

Start date of your absence*:

End date (if different):

(Note that a separate request must be made for each group of non-contiguous dates that will be missed.)

Details of your absence*:

Ensemble/Class (include CRN#):

Ensemble/Class Instructor:

Important details about missing ensembles
See 'Excused Absence Policies' for required documentation

If there are additional people who you feel should be notified, please enter their information below. This includes faculty members (other than those listed above), TAs, and staff members.

Name:		Email address:

Please note: Once you submit this form, your request will be sent to the Office of Academic Affairs. If your request is approved, a message will be automatically sent to your private instructor/faculty advisor, professors for all of the classes that you will miss, and any other additional people that you have requested to receive notification of your absence.

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