Student Athlete Class Excuse Form

In accordance with Faculty Senate Rule 67-00, which governs athletic competition, a student athlete who represents the University in an athletic contest shall be excused from class.

Student athletes who have a scheduling conflict with a game and a class need to complete the following form and submit it by the end of the class period prior to the class that will be missed. Students must submit one form for each class they will miss.

Students who do not submit the form on time risk not being excused from class.

It is important to note that being excused from class does not mean being excused from the responsibility for the material missed.

Game Information

Athlete Name *

Athlete Email *

Sport *

Is it a home or away game? *

Home

Away

Report Date *

Month

Day

Year

Report Time *

Hour

Minute

Is this a multi-day competition? *

Yes

Date of Competition

Complete this field even if the game day is the same as the report date.

Month

Day

Year

Beginning Date of Competition

Complete this field even if the first game day is the same as the report date.

Month

Day

Year

End Date of Competition

Month

Day

Year

Class and Faculty Information

Faculty Name *

Faculty Email *

Course Title *

Course Number *

Student Athlete Signature *

Checking this box serves as your signature. You agree that the information provided is correct. You understand that it is your responsibility to get notes from peers and contact the faculty member to arrange any make up work for missed information, assignments, activities, and quizzes or tests. You acknowledge that practices and other athletic-related events/activities are not permitted as excuses for absence from any class and/or required class activity.

Signed

Student Athlete Class Excuse Form

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