Structural & Cellular Biology Request for Excused Absence

This form is ONLY for ACP, Graduate, and TA programs in the Department of Structural & Cellular Biology. The form may be used to request absence from a specified event, scheduled activity, or mandatory responsibility. You must list your valid Tulane e-mail address in the “E-Mail” section of the form below for your request to be considered.

To request an excused absence, you must complete all parts of the form below and submit. Your form will be reviewed. If your request is approved, you will receive, by email, confirmation of approval of excused absence.

Name(Required)

First Last

Tulane Email(Required)

Enter Email Confirm Email

Tulane ID(Required)

First Date Requested(Required)

Last Date Requested(Required)

Specific Activities I Will Miss(Required)

Reason For Absence(Required)

Do not include personal health information details, “illness” is sufficient.

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