NOTE: CEC policy requires that a request for absense must be made with a minimum of four (4) weeks notice.
Additionally, requested absences around holiday weeks/breaks or the first or last week/day of any rotation will most likely
not be approved. Request for an absence from an HEC assignment on Saturday will not be approved.
Please acknowledge the statement below:
I understand this is a "request form" and not a "notice given" form :
Student Name
Student E-mail Address
Year In school
Graduation Year
Dates Of Absence(s):
From:
To:
From:
To:
From:
To:
Is absence related to NBEO CLINICAL SKILLS
yes
no
Reason (Max 500 characters.)
Proposed Method of Make-up (Max 500 characters.)
Webmaster:Dr.Ralph Garzia & Ramya Koosukuntla
Last Updated: March -22- 2011
