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Student Absence Notification

A student may request faculty notification for a documented absence of 3 days or more due to a non-academic emergency situation. Examples include, but are not limited to, the following:

Personal prolonged illness or injury;
Life-threatening or serious illness or injury of an immediate family member;
Death of an immediate family member;
Significant and compelling circumstances beyond a student's control.

A requests for absence notification must be made within 10 business days after a student has returned to class(es). Supporting documenation is required such as:

Signed letter from a healthcare provider including treatment dates;
Death certificate, funeral program, and/or obituary which includes name and date of death;
Documentation from a state agency, government entity, or case manager;
Other documentation supporting absence.

All documentation is subject to verification by the Dean of Students Office. Students who misrepresent or submit false documentation may be subject to disciplinary action in accordance with the Code of Conduct.

An absence notification is intended to provide faculty with verified information about the absence. Once approved, it is the student's responsibility to discuss the aproved absence with the faculty member to determine the best path to successfully complete missed coursework. Absence notification approval does not gurantee an excused absence or extended deadlines for missed work. The final decision rests with each individual instructor.

Background Information

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Your email address:

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Urgency of this report(Required):

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Campus Attending(Required):

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Involved Parties

Name or Organization

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ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Hall/Address

Questions

What is the date you are requesting your excused absence begin?(Required)

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What is the date you are requesting your excused absence end?(Required)

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Give a brief description of the reason for your absence?(Required) This field is required.

Please provide any additional Roosevelt University employees or groups who need to be notified? (example: Supervisor if you work on campus) This field is required.

Supporting Documentation

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