ID number (SPIRE 8-digit number)
Name Address Phone
Email
Major
(Make Selection) Accounting FOMGT Major/Finance Track FOMGT Major/Operations Management Track Management Marketing
Expected Grad Yr
Course Information
Course Title
Instructor's Name
Dept/Course Number (e.g. MGT 260)
Five digit class schedule number
Five digit schedule number of the lab/discussion (if applicable)
Explain
Reason For Request
(Make Selection) Never Attended (Explain in the textbox below the reason for your request.) Personal Illness (Explain in the textbox below. This also requires verification from a physician.) Personal and/or family problems. (Requires verification from, for example,a counselor, ect) Work Circumstances. (Requires verification of work schedule.) Other.
