ࡱ> 8:7a bjbjڤڤ 4CbCb ff *.&&&&&"*$*$*$*$*$*$*$+.H*444H*&&]*ddd4"&&"*d4"*ddF(|)&0V"(*s*0*()/x)/$))/)t^dL/H*H*j*4444)/fB : FLORIDA ATLANTIC UNIVERSITY CHRISTINE E. LYNN COLLEGE OF NURSING FACULTY ABSENCE FROM CLASS REQUEST FORM TO: DR. SAFIYA GEORGE, DEAN FROM: _________________________________ DATE: ___________________ SUBJECT: REQUEST FOR ABSENCE FROM CLASS Course Number: ________ Course Sequence Number: _______ Course Title: __________________________ Online Course: _____ Traditional Classroom Course: _____ Dates of Absence: From: ______________ To ______________ I will be missing class: Yes ____ No ____ (If yes, please complete items 1 through 8) I request to be absent from the above class/classes for the following purpose: __________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Class will be missed on the following dates: ____________________________________________________ If the class meets, who will be responsible for conducting it? ______________________________________ 4. If teaching an online course, how are students notified of your absence? ______________________________ ________________________________________________________________________________________ 5. If teaching an online course, how will the content be covered? _____________________________________ ________________________________________________________________________________________ 6. If teaching an online course, who will be available to answer students questions? ______________________ ________________________________________________________________________________________ 7. If the class is canceled, will students be provided with an activity/assignment that substitutes for the canceled class? Yes _____ No ______ 8. If yes, describe the activity/assignment: _______________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ______________________________________ _________________ Faculty Signature Date ( ) Denied ( ) Approved _______________________ _______________ Dean Date Revised: 07/01/19; 9/24/04; 03/28/13 R]kpqt   ) 0 > ? Q Y Z   / 0 2 3 P Z _ g R Y   % ' A {})*.ǿǿh<2CJaJhsCJaJhMCJaJhYCJaJhI CJaJhdCJaJhf*>*CJaJhI hs>*CJaJhI h>*CJaJhCJaJhI h>ABjkZ 2 3 4  h^hgds & F  gds &d P gdgd$a$gd Z [ & ' Y "{|+.HIh^hgdv gdv h^hgdgd & Fgd./23=>Gmoq/04lqrux̸h0Ihf*hdhs.hv hvhYCJaJhv CJaJhsCJaJhCJaJhvCJaJhdCJaJ75h^hgdMh^hgdgdv 21h:pd/ =!`"`#$% s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List HH s. Balloon TextCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< H.   8@0(  B S  ? hhhhhhhhh&). %(-55 =*urn:schemas-microsoft-com:office:smarttags PlaceType= *urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace     /  33t t Nw ^FdHZDJ~!Gb|V_HZnQr$h ^`o(hH. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.hh^h`o(. 88^8`hH. L^`LhH.   ^ `hH.   ^ `hH. xLx^x`LhH. HH^H`hH. ^`hH. L^`LhH.~!Dd|V_NwnQr                                             I v K<s )P*f*2-s.W40IbQY_&{ydv<2/M @2222 @@UnknownG.[x Times New Roman5Symbol3. .[x Arial5..[`)TahomaA$BCambria Math"1h w' w'ikfy8*y8*!`x24 3QHP(?2!xx FLORIDA ATLANTIC UNIVERSITYMichelle PerkinsValentine Etienne$      Oh+'0 ( H T ` lxFLORIDA ATLANTIC UNIVERSITYMichelle PerkinsNormalValentine Etienne2Microsoft Office Word@@gK@&0@&0y8 ՜.+,0 hp|  *  FLORIDA ATLANTIC UNIVERSITY Title  !"#$%&()*+,-.01234569Root Entry F0;1TableM/WordDocument4SummaryInformation('DocumentSummaryInformation8/CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q