Student Absence Request Form

Student Name(Required)

Year(Required)

Are you planning to miss more than one day of classes?(Required)

Date of absence

First date of absence

Last date of absence

Type of absence

Personal Time

Please provide conflicting class(es) and approvals where possible – no need for other explanation

Number of personal days this absence will use:

Sick Day

Due to the ongoing health crisis, we will not count sick days against your balance of personal days. This policy is subject to change.

Rabbinic Training Opportunity

Opportunity Details(Required)

Number of offsite opportunity days already used(Required)

Number of additional hours/days I request to use against my personal time allowance

Please explain your reasons for participation. Why you feel this is relevant to your rabbinic training:(Required)

Weekly Absence

Graduate School, job, therapy, etc.

Please provide details(Required)

Lifecycle Event

Please provide conflicting class(es) and approvals where possible

Please provide details(Required)

Classes missed

Classes you will miss(Required)

Please list ALL classes which conflict with your requested absence and confirm that you have already notified respective faculty member (including process group leaders and faculty teaching electives or pastoral counseling classes):

Class

Faculty

Did you notify faculty?