Time Away Request

Student Affairs

200 University Parkway, Suite 317

Yakima WA 98901

Phone: 509-249-7724

Fax: 509-249-7909
TIME AWAY REQUEST

If you are ill, please follow the guidance from Washington State's Department of Health at the link below.

https://doh.wa.gov/sites/default/files/2025-02/420611-RespVirusIllness-onepager-english.pdf
There must be an appropriate reason and documentation for time away from lectures, labs, rotations, and other assigned functions. Failure to comply may result in disciplinary action.

Extended time away may have an adverse effect on academic progress and financial aid.

To allow adequate time for approval, please submit all requests at least three (3) weeks prior to time away date request.

For emergency, unplanned time away requests (eg: illness, funerals, etc.) please contact student affairs at studentaffairs@pnwu.edu.
Student Information
Name

First NameMiddle NameLast Name
PNWU ID (no dashes)
Class Level
Group
Email
Cell Phone Number

Area CodePhone Number
Time Away Information
Type of Leave
Please attach any necessary documentation for your Time Away Request: (wedding invitation - or information regarding wedding party involvement/family relation, conference registration confirmation, doctors note, medical appointment upload, etc.)

Upload a File

Cancelof
If "other" please explain:
Start Date/Time

MonthDayYearHourMinutesAM/PM Option
End Date/Time

MonthDayYearHourMinutesAM/PM Option
Explanation of need for Time Away:
Is this a national meeting for a PNWU club in which you hold an office?
If yes, which PNWU club?

Other
Please indicate the officer position you hold with your club:
Are you presenting at this conference?
If yes, please upload documentation to verify that you will be presenting.

Browse Files

Cancelof
Are you missing an exam while attending this conference?
How many conferences have you attended this academic year?
Name of Conference
Location of Conference
Dates of Conference (start date with time/end date with time)
How will airfare be purchased?
Full Legal Name for Airfare

First NameMiddle NameLast Name
Date of Birth for Airfare

MonthDayYear
Date
Alaska Airlines Number
Departure Airport
Destination Airport
Departure Date

MonthDayYear
Date
Preferred Flight Times for Departure
Return Date

MonthDayYear
Date
Preferred Flight Times for Return flights
Missed Coursework and Exams

Note: Please be aware that the dates and times for completing missed coursework/quizzes/exams will be at the discretion of the course director in coordination with the assessment coordinators. It is the student’s responsibility to initiate contact with the course director and assessment coordinators to make these arrangements once the request is approved. All assessments (quizzes and exams), assignments, and other academic activities such as labs must be made up within five (5) business days after returning from an excused absence, unless an extension was authorized by Student Affairs. For any excused absence that falls during the final two days of a course, make up assessments must be completed within three (3) business days.
Select OMS I Courses that will be missed

Other
Select OMS II Courses that will be missed
Select MAMS Courses that will be missed

Other
Select DPT I Courses that will be missed

Other
Select MSOT courses that will be missed

Other
Select DPT II Courses that will be missed

Other
Select DPT III Courses that will be missed

Other
Select SDM I Courses that will be missed:
Select SDM II Courses that will be missed:
Should be Empty:

Student Information

Time Away Information

Missed Coursework and Exams