Apply for an Absence
Full Name
*
First Name
Last Name
Student ID
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Student Email
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example@example.com
Mobile Number
Please enter a valid phone number.
Format: (000) 000-0000.
College
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Please Select
College of Medicine
College of Dentistry
College of Pharmacy
College of Health Sciences
College of Nursing
College of Health Management and Economics
Program
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Please Select
Bachelor of Medicine & Bachelor of Surgery
Doctor of Pharmacy
Doctor of Dental Medicine
Bachelor of Physiotherapy
Bachelor of Biomedical Sciences
Bachelor of Science - Anesthesia Technology
Bachelor of Science - Medical Imaging Sciences
Bachelor of Science - Medical Laboratory Sciences
Bachelor of Science in Nursing
Bachelor of Science in Nursing for Registered Nurses
Master in Public Health
Master Of Physical Therapy
Master in Clinical Pharmacy
Joint Masters in Health Professions Education
Associate Degree in Preclinical Sciences
MASTER OF DENTAL SURGERY IN PERIODONTOLOGY
MASTER IN ENDODONTOLOGY
Bachelor of Heath Care Management and Economics
Executive Master in Health Care Management and Economics
MASTER OF SCIENCE IN MEDICAL LABORATORY SCIENCES
Master of Science in Drug Discovery and Development
You are a student in year
*
Please Select
1
2
3
4
5
Absence Start Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Absence End Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
The reason
*
Course Code, Course Name and Faculty Name
*
List the lectures and labs that you will miss.
*
List the exams that you will miss, if any.
Supporting Document(s)
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Response to the Absence Request
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Status
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Pending
Approved
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