CHEM 103/113/123/128/133/138 Lab Excused Absence Form

Known absences must be completed the week labs are offered (see schedule posted on Canvas)
All absences must have documentation. Submit a scan or photo of paper documentation with your form.
Incomplete or incorrect forms will NOT be processed.
Please allow 24 hours for processing. If you do not receive a response after 24 hours, then email Linda Sherman directly.
Only university approved absences will be approved (see syllabus for details and the registrars website)

Reason for missing a lab*
(Only One Choice Allowed)
Name*
First Last
Email*
Teaching Assistant's Name*
TA's Email*
Lab Section*
Date of Absence*
MM slash DD slash YYYY
CH 103 Lab Which Was/Will be missed*
CH 113 Lab Which Was/Will be missed*
CH 123 Lab Which Was/Will be missed*
CH 128 Lab Which Was/Will be missed*
CH 133 Lab Which Was/Will be missed*
CH 138 Lab Which Was/Will be missed*
Desired Lab Make-up Day and Time - CH103*
Desired Lab Make-up Day and Time - CH113*
Desired Lab Make-up Day and Time - CH123*
Desired Lab Make-up Day and Time - CH128*
Desired Lab Make-up Day and Time - CH133*
Desired Lab Make-up Day and Time - CH138*
Supporting Documents*
Drop files here or

Accepted file types: gif, jpg, png, txt, pdf, doc, docx, ppt, pptx, Max. file size: 2 MB.
Notes

Department of Chemistry College of Arts & Sciences