Excused Absence Request Form
Student ID
*
Name
*
First Name
Last Name
Mobile Phone Number
*
Please enter a valid phone number.
BRTC Email
*
example@example.com
Please list the first and last names of your current instructors:
*
Please select the reason for your absence:
*
Documented medical reason
Death of a loved one
Jury Duty or Interview with a Lawyer/Law Enforcement Officer
Other; Please include typed letter with documentation explaining reasoning.
High school sanctioned event, verified by school personnel.
Dates Absent from Class(es): Enter Range
*
Acceptable Documentation
Excused absence dates, or range of dates, must be listed on documentation. Documentation must be signed by a licensed/qualified professional. Obituaries do not require a signature.
Unacceptable Documentation
Handwritten notes requesting an excused absence will not be accepted. Documentation that cannot be verified by a licensed/qualified professional may be denied. Transportation issues or internet connectivity issues do not qualify for an excused absence.
Upload Your Documentation: Documentation must be clear, easy to read, and uploaded vertically. Our office may not be able to excuse absences if the above directions are not followed.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
I understand the following:
*
I will be notified via BRCTC email if my excused absence is approved/denied. Submission does not guarantee approval.
I may be responsible for providing additional documentation.
I have reviewed the acceptable/unacceptable forms of documentation listed above.
If approved, I am responsible for coordinating prompt assignment submission with my instructor.
Signature
*
Submit
Should be Empty: