Student Absence Notification Request Form
Student Absence Notification Information
In the case of an unplanned, extenuating circumstance (e.g. physical/mental health matters, death of a loved one, legal obligations/jury duty, inclement weather) that will keep a student from attending class, the absence notification request form allows the Student Success and Advising office to relay the information from the student to faculty members in a timely manner. If you are unable to return the form electronically, please call 503-838-8428 or email us at email@example.com.
Submission of this form does not fulfill the student’s responsibility to maintain communication with their faculty. You may submit documentation as part of your request or bring a hard copy to the Student Success and Advising office in the Advising Center but are not required to do so.
Please note that you will still be responsible for communicating with your faculty for any work missed during your absence. Notification of absences by the student success team is intended to provide students a method of relaying information to their respective faculty.
How much detail should I provide about my situation?
– Explain it for someone who knows nothing about you or your situation, but be concise.
If your Student Absence Notification will require an explanation that discloses confidential information related to sexual harassment or sexual violence, start the process by visiting Abby’s House or the Student Health and Counseling Center to speak with a professional staff member that serves as a confidential employee. Non-confidential professional staff, faculty, and student staff members are required by federal law to report to a University official information disclosed that is related to sexual harassment or sexual violence and an investigation will result.
Confidential employees are not required to make a report to a University official and will typically not share information without your permission. However, they may be required or allowed to share information in certain circumstances. For example, if a court order is presented, if they have reason to believe that a student is at high risk for suicide, or violence toward others, or if a minor is being abused.
How private is the process?
– The information will remain protected in accordance with the Family Educational Rights and Privacy Act, which limits the sharing of information to institutional officials who only have an academic need-to-know.
*If you will be missing class due to pregnancy or childbirth, please review this form (http://www.wou.edu/graduate/files/2015/12/Title-IX-Pregnancy-Parenting-Absence-Request-form.pdf) for instructions on that absence process.
If you have extenuating circumstances that may result in a medical withdrawal from all your classes, you can find more information about that process at: http://www.wou.edu/deanofstudents/home/medical-withdrawal-from-wou/medical-withdrawal-request-form/.