COLLEGE   OF  FINE   ARTS   AND COMMUNICATION
Faculty Absence Request

Name (Please Print)________________________________	Department________________________

Reason(s) for absence_________________________________________________________________________

If attending a conference, please check one of the following:   (    )on program      (    )attending only

Classes to be missed	_______________________________	(on date)__________________________
			

		_______________________________	(on date)__________________________

		_______________________________	(on date)__________________________

Arrangements for classes________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Person(s) responsible for classes and attendance records ______________________________________________

Person(s) to act for absentee in case of an emergency ________________________________________________

Signatures:

________________________________		__________________________________________
Faculty						Department Chair