Pennsylvania Western University-Californa-Fay-UB-Excuse Form

Event Excuse Form
TRIO Upward Bound
PennWest University – California
Excuse forms must be received no later than one week after the missed session, otherwise, your absence will automatically be considered unexcused. Thank you!
Student Name

First NameLast Name
Email
example@example.com
School
Event Missed:
Saturday Session Date

MonthDayYear
Date
Afterschool Session Date

MonthDayYear
Date
Please complete one excuse form for each Saturday or after school session.
Reason for Student’s Absence on the Date Listed Above

Other
Please Describe
Student Signature
Parent / Guardian Signature