Absence Request Absence Request Form: You must review the attendance policy before submitting your request. If you fail to review the policy, you risk having your request denied if it is not in compliance with our policy. First and Last Name*UFID*UF Email Address* Please include a full working email address.UF Email - no longer used*Select Your Class Year*Select Your Class YearFirst-YearSecond-YearThird-YearFourth-YearType of Absence Requesting*Select Your Type of AbsencePlanned - Family/Personal EventPlanned - Job InterviewPlanned - NAVLE Exam (Offshore Students)Planned - Presentation at a Scientific MeetingPlanned - Receiving an AwardPlanned - Representing the CollegeUrgent - Death in the FamilyUrgent - Family EmergencyUrgent - IllnessOther Reason - Please explain belowOnly students on clinical rotations are permitted to request absence for a job interview. You are allowed a maximum of three days in a row for interviews. Absences that require more than one day off will need to be made up during your vacation block or during the week preceding graduation.Provide additional details about your situation.*Indicate Interview Details and Employer Information*(Name of Practice / Location / Phone Number)Missed Task*Select your missed taskClinical RotationExamGraded AssignmentLaboratoryQuizCourse Number and Name (e.g. VEMXXXX Veterinary Sciences)*Missed Clinical Rotation*Select Your Clinical RotationAnatomical PathologyAnesthesiologyCardiologyClinical PathologyDermatologyEmergency & Critical CareFood Animal Reproduction and Medicine ServicesIntegrative MedicineLarge Animal MedicineLarge Animal SurgeryNeurologyOncologyOphthalmologyPractice-based Equine Clerkship (PBEC)Practice-based Small Animal Clerkship (PBSAC)Primary Care & DentistryRadiologyShelter MedicineSmall Animal MedicineSmall Animal SurgeryTheriogenologyZoological MedicineThe services described above are in the process of being updated. When you select a service, an email of request will be sent to the Director of Student Affairs for review pending the Service Chief's final approval.Authorizing Faculty/Course Coordinator Name*Authorizing Faculty/Course Coordinator Email*Date(s) of Absences from Clinical Rotation*Format: (MM/DD/YY – MM/DD/YY)Date of Missed Task* Proposed Make-Up Date* Proposed Time of Make-Up* : HH MM AM PM NameThis field is for validation purposes and should be left unchanged.