Pre-Clinical Student Absence Form

By filling out and submitting this form, you acknowledge that you have read and understand the attendance policy, and that the information you are submitting is true and accurate.

Absence Form

Student Name: *

Student Email Address: *

Class year: *

VME I

VME II

VME III

Name of Course(s), Instructor, and Task(s) Missed

Type of Absence: *

Planned

Unplanned

Reason of Absence: *

Please provide additional details describing your situation: *

Missed Course: *

Authorizing Faculty/Team Leader Name: *

Authorizing Faculty/Team Leader Email: *

Missed Task: *

Graded Assignment

Exam

Laboratory

Other

If other, please specify:

Date of Missed Task: *

Additional Comments:

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College of Veterinary Medicine

Pre-Clinical Student Absence Form

Professional DVM Program