General Biology Lab II - EBIO 1240

Application for Excused Absence

Complete and return to your TA

Student Name_________________________ ID#________ Date _______

Section # ________ TA ___________________ Date Missed___________

Reason for absence: Be spec ific, give all relevant details, including names and phone numbers of persons who can verify your excuse. Attach any supporting documents such as a health practitioner's note. Provide phone numbers and supporting documents. See previous page for offici al policy on excused absences.









The statements concerning my absence are true

Student's signature ___________________________

Date:______________________

Student's name_____________________________