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.
Dates Absent from Class(es): Enter Range
*
Upload Your Documentation: *Must state the same dates in which you were absent. Must be signed by a licensed and qualified professional (excluding obituary 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.
*
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