Excused Absence Request Form

If your professor has instructed you to request an excused absence from the Associate Dean for Student Affairs, please fill out this form to initiate the request. 1L students must use this form for all classes, other than Lawyering and Foundations. If you have any questions, please contact Associate Dean Libby Davis (eadavis@lclark.edu)

All fields marked with asterisk (*) are required.

required text field
(please include first and last name)
required e-mail address field
(lclark.edu email address)
required select menu field
required date field
(One day per form - if you are requesting excused absences on more than one date, please fill out the form for each date)
required textarea field
(Provide an explanation for the request - typically absences will be excused for illness, medical appointments, emergencies, unchangeable job interviews)
required text field
(Indicate class name, section number, professor’s last name, and if you need the class recording link))
text field
(Indicate class name, section number, professor’s last name, and if you need the class recording link))
text field
(Indicate class name, section number, professor’s last name, and if you need the class recording link))
text field
(Indicate class name, section number, professor’s last name, and if you need the class recording link))
text field
(Indicate class name, section number, professor’s last name, and if you need the class recording link))
text field
(Indicate class name, section number, professor’s last name, and if you need the class recording link))
file attachment field
(50 MB max)