* = required field

Ranked Faculty Absence Form

Name *

I missed the following class/classes on the day/s below. (If the class/classes was/were covered by another faculty member, please include their name as the Substitute.)

Date Missed *
Name of SUBSTITUTE to be paid *
THIS ABSENCE IS TO BE CHARGED AGAINST: *

*Professional Leave must be approved by the Academic Dean prior to leave. (Full Time and Tenured part-time faculty members)

Please submit the completed form to the Academic Dean ASAP.

* A FT faculty member who fails to complete the absence form verifying how course time and content was made up by the end of the semester for which
they were absent will have sick days charged to them for the time that they missed.

Please help us prevent spam by using the reCAPTCHA below.