Absence Waiver Request Form

Entry Date/ Time
Emergency Absence Request Form
In order for an Emergency Absence Request to be officially considered, students must submit the online Emergency Absence Request Form. Emails, telephone calls, in-person meetings, and similar communications will not be considered. This policy ensures a fair process for all students and prevents any undue influence. Any prohibited communications will not receive a response.

Student Handbook 5.1 – Attendance

_{“Satisfactory attendance” means attendance at a minimum of 85% of regularly scheduled classes for each course (except Turbo courses; see Section 3.4.2). The percentage of absences is intended to account for the range of minor illnesses, family obligations, interviews, and unplanned events that occur in each of our lives.}

_{Upon a showing of compelling hardship and in exceptional circumstances, the Associate Dean of Students may relieve a student of the attendance requirement. Requests for relief from the attendance requirement must be submitted in a timely manner – ordinarily within three (3) days of notification of excessive absences, in instances where notice is provided.}

For any course, a student is permitted to be absent up to the Course Absence Allowance as stated in the syllabus. Students with absences exceeding the Course Absence Allowance will be excluded from the course unless such excess absences are waived by Dean Yannick Brookes.

Absences within the Course Absence Allowance should be reported directly to the professor. Absences beyond the Course Absence Allowance must be reported to the Associate Dean of Students, Yannick Brookes, using the online Emergency Absence Request Form.

Emergency Absence Process
1. Submission: Once a student has exceeded the Course Absence Allowance, they must submit the online form with all required supporting documentation illustrating the reason for the absence.
2. Acknowledgement: The student will receive a confirmation email acknowledging receipt of their submission.
3. Decision: The student will receive a decision email from Dean Yannick Brookes indicating whether the request has been approved or denied. This email will list any waived dates. All emergency absence decisions will be issued by the last day of classes in the given semester.
Examples of Acceptable Supporting Documentation:
- Letter from the medical professional performing the procedure
- Copy of the death certificate of the deceased family member
- Email receipt from covidconfidential@udc.edu after submitting positive COVID-19 test results
- Program from a memorial or funeral service
- Police report
- Documentation verifying the extenuating circumstance preventing attendance
Important Notes on Documentation:
- Documentation cannot be from the student’s family member, partner, friend, or coworker. Acceptable sources include a direct supervisor, a clergy member officiating the service/ceremony, or another verified authority.
- As a general rule, work-related requests and jury summons are not granted.
- Documentation must clearly identify the author and their credentials and must confirm that the conflict occurs on the same date and time as the originally scheduled class or exam.
Assignments, Assessments, Early Departure, and Late Arrival:

This waiver applies only to attendance. Students remain responsible for all assignments, assessments, in-class tasks, and other academic requirements. This waiver does not permit arriving late to class or leaving class early.
I, Enter Full Name* have read and understand the above policies and wish to proceed.

STUDENT INFORMATION
Student Name*

First NameLast Name
Pronoun

he, him, hisshe, her, hersthey, them, thiersOther
Student ID Number*
UDC N#
Please enter the numbers only
Phone Number
Please enter a valid phone number.
myUDC Email*
first.last@udc.edu
Program*
Year*

ACCESSIBILITY RELATED

Please be aware that in order for the Office of Student Affairs to implement any accommodations, you must first initiate a meeting with your ARC counselor, who will then review and approve your accommodation needs. Once ARC has approved your accommodations, you will need to register with the Office of Student Affairs. Only after these two steps—ARC approval and registration with the Student Affairs Office—can Student Affairs begin implementing the approved accommodations.
Was this absence in relation to an approved Accessiblity Resource Center accommodation?*
ARC Counselor*

First NameLast Name
Have you met with your ARC counselor prior to absence?*
Have you filed your Semesterly Student Accommodations with the Office of Student Affairs?*
ARC Counselor's Email*
example@example.com

COURSE ABSENCE THRESHOLD DETAILS
Course #1*
Number of Absences Allowed #1*
Enter the number of allowed absences permitted in this course base on the course's syllabus.
Course #2
Number of Absences Allowed #2
Enter the number of allowed absences permitted in this course base on the course's syllabus.
Course #3
Number of Absences Allowed #3
Enter the number of allowed absences permitted in this course base on the course's syllabus.
Course #4
Number of Absences Allowed #4
Enter the number of allowed absences permitted in this course base on the course's syllabus.
Course #5
Number of Absences Allowed #5
Enter the number of allowed absences permitted in this course base on the course's syllabus.
Have you reached the maximum allowed absences in one or more courses?

COVID-19 INFORMATION
IS THIS COVID-19 RELATED*
What is the date of your positive COVID Test?

MonthDayYear
Have you emailed COVIDCONFIDENTIAL@udc.edu?
If you test POSITIVE for COVID-19, you must report your positive status to the University via email at COVIDCONFIDENTIAL@udc.edu
COVID ACKNOWLEDGEMENT #2

I attest that I will not return to campus until I have been isolated for at least five days following the onset of symptoms and I am asymptomatic.
COVID ACKNOWLEDGEMENT #1

I understand that the University no longer requires a negative test result to return to UDC campuses, provided that an individual is asymptomatic and has been isolated for at least five days following the onset of symptoms.
COVID ACKNOWLEDGEMENT #3

I understand that should my symptoms persist longer than 10 days, I will need tosubmit documentation to the Office of Student Affairs from my physician as to why I cannot return to campus.

ABSENCE DETAILS
Current Semester*
Current Year*
CIRCUMSTANCES CAUSING THE ABSENCE*
REQUIRED SUPPORTING DOCUMENTATION*

Cancelof
Date of First Absence*

MonthDayYear
Course Affected*
Please enter the class(es) and professor information
Date of Second Absence

MonthDayYear
Course Affected
Please enter the class(es) and professor information
Date of Third Absence

MonthDayYear
Course Affected
Please enter the class(es) and professor information
Date of Fourth Absence

MonthDayYear
Course Affected
Please enter the class(es) and professor information
Date of Fifth Absence

MonthDayYear
Course Affected
Please enter the class(es) and professor information
Additional Comments
Please note that if student anticipates abscences to exceed five days that they should make a meeting request with Dean Brookes.

EXAM ADMINISTRATION
Does this absence coincide with an exam?*
If this absence will prevent you from taking an exam, students must also submit the Exam Conflict Form.
Which Course?
Who is the professor?
Not Listed (Course/Faculty)
If the faculty member or the course is not listed, please enter those details in this section.

Emergency Absence Request Form

STUDENT INFORMATION

ACCESSIBILITY RELATED

COURSE ABSENCE THRESHOLD DETAILS

COVID-19 INFORMATION

ABSENCE DETAILS

EXAM ADMINISTRATION

Certifications and Acknowledgements