Request for Excused Absence/Missed Testing
Questions marked with a * are required

Please complete this form only if you require an excused absence to reschedule missed testing or to fulfill an attendance requirement.

Please complete the form in full.  Incomplete forms will not be processed.

Disputes over excused absences should be directed to the Dean of Students.

Contact Information
Beginning Date of Absence?
Ending Date of Absence?
Long-term Absence:  If you will be missing more than a week of classes, please contact the Dean of Students at (480) 222-9237 to discuss options for making up missed work.
Reason for Absence
Please provide a brief description of the reason for absence:
Please list all classes missed by Faculty Name(s), Course Code #, Day of Class, and Time of Class:
Are you missing any exams, tests, quizzes or assignments during your absence?
Please list missed exams or assignments by Faculty Name(s), Course Code #, and Type of Exam Missed:
Will you be missing more than two days?  
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