Excuse Form

Please fill-out and submit this form when you are unable to attend an event/meeting

Your email address

Subject

Comments

Please explain the reasons for requesting an excused absence

characters remaining

Type of event ■

Face to face meeting
Conference call
State Event
Other

Date of Event/Meeting

/ / :

I understand... ■

I understand that if this request is granted, the absence will not count against me for the fulfillments of my meeting requirements. However, I am also aware that if not granted, or if I do not turn this in on time, i will be unexcused, and the absence will count against fulfilling my requirements.

I have read the above statement and understand
I have read the above statement and do not understand.

Name

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