UNIVERSITY OF ILLINOIS AT CHICAGO
Department of Spanish, French, Italian, and Portuguese Office of Spanish Basic Language Instruction Excused Absence Request Form (EARF)
BEFORE FILLING OUT THIS FORM, READ THE SECTION TITLED “MAKE-UP EXAM POLICY” IN YOUR SYLLABUS.
Instructions: Fill out the top portion of this form and submit it with the appropriate documentation to 1728 UH. All information must be filled out or the form will be returned to you. Once a decision has been made by the Office of the Spanish Basic Language Program, your instructor will inform you of the decision and will keep the form on file.
Student name: Student email: Instructor:
Student ID #: Course: Call #
Original exam date and lesson(s) covered: ________________________________________ Makeup date: _______________________________________________________________ Reason for absence: __________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Describe documentation attached: _______________________________________________
Do not write below this line - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - Department of Spanish, French, Italian, and Portuguese use only Date form submitted: __________________________________________ ___ Excused Signature: ___ Not excused ___ More information requested Date: