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Instructor Memorandum of Absence

Upon submission of this form, copies will be sent to the email address provided below, as well as the current Vice Chair and Office Supervisor of the Department of English.

Name Required

Email Required

Absence Start Date Required

Absence End Date (if different)

Reason for Absence

Professional

Emergency

Other

Class 1

Course Required

example: ENGL 150

Day(s) and Time(s) Required

Example: Tuesday 9/13 and Thursday 9/15, 12:30-1:45pm

Room Required

Plan for covering this class in your absence

Substitute instructor

Class cancelled/other arrangements

Name of Substitute Instructor

Class 2

Course

example: ENGL 150

Day(s) and Time(s)

Example: Tuesday 9/13 and Thursday 9/15, 12:30-1:45pm

Room

Plan for covering this class in your absence

Substitute instructor

Class cancelled/other arrangements

Name of Substitute Instructor