BETTY WHITE HEALTH CENTER

Appendix E: Request to Make-up Missed Work

Name (Please Print)
ID Number
Date of Absence
Date of Request

REQUEST MUST BE MADE ON THE DAY THE STUDENT RETURNS TO COURSE FOLLOWING THE ABSENCE. Reason for Request

Clinical absence

Theory absence that resulted in a missed test

PLEASE ATTACH VALID EXCUSE/REASON FOR ABSENCE.

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Faculty's Approval for Make Up

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Date of Faculty's Approval

Date/Time/Location for Make-Up Work

<div style="text-align: center;"><img src="imgs/img_in_image_box_26_27_912_86.jpg" alt="Image" width="94%" /></div>

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Comments:

Student's Signature ___

Date___