Excuse Letter Request

This form is intended to be used by SA Club E-Board members to request official excuse REQUEST letters.

Requests must be submitted by current club e-board members. Any requests made by others will be ignored.

These requests do not guarantee you an excused absence. These letters only serve as an official request, on behalf of SA, to excuse you from class. Only your Professor may actually grant such an excuse.

Enter your (the E-Board member requesting access) info:

You (requester) name:(*)

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What position do you hold within your club(*)

President

Vice President

Treasurer

Secretary

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Your UB Email(*)

Please choose your club(*)

Please choose your club from the list!

Trip Information:

Please choose the date that this excuse letter should begin:(*)

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What is the destination of this trip?(*)

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Please choose the date that this excuse letter should end:(*)

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What is the reason for this trip? (*)

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Please attach a flyer, registration documentation or other proof that this event is a legitimate event to be excused for.(*)

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How many people need a letter?(*)

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Participating Students and their information (max 20 at a time):

Full name of the 1st Student:(*)

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Class number - 1st Student(*)

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Professor's last name - 1st Student(*)

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Full name of the 2nd Student:(*)

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Class number - 2nd Student(*)

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Professor's last name - 2nd Student(*)

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Full name of the 3rd Student:(*)

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Class number - 3rd Student(*)

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Professor's last name - 3rd Student(*)

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Full name of the 4th Student:(*)

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Class number - 4th Student(*)

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Professor's last name - 4th Student(*)

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Full name of the 5th Student:(*)

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Class number - 5th Student(*)

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Professor's last name - 5th Student(*)

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Full name of the 6th Student:(*)

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Class number - 6th Student(*)

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Professor's last name - 6th Student(*)

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Full name of the 7th Student:(*)

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Class number - 7th Student(*)

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Professor's last name - 7th Student(*)

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Full name of the 8th Student:(*)

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Class number - 8th Student(*)

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Professor's last name - 8th Student(*)

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Full name of the 9th Student:(*)

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Class number - 9th Student(*)

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Professor's last name - 9th Student(*)

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Full name of the 10th Student:(*)

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Class number - 10th Student(*)

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Professor's last name - 10th Student(*)

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Full name of the 11th Student:(*)

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Class number - 11th Student(*)

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Professor's last name - 11th Student(*)

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Full name of the 12th Student:(*)

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Class number - 12th Student(*)

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Professor's last name - 12th Student(*)

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Full name of the 13th Student:(*)

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Class number - 13th Student(*)

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Professor's last name - 13th Student(*)

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Full name of the 14th Student:(*)

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Class number - 14th Student(*)

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Professor's last name - 14th Student(*)

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Full name of the 15th Student:(*)

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Class number - 15th Student(*)

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Professor's last name - 15th Student(*)

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Full name of the 16th Student:(*)

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Class number - 16th Student(*)

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Professor's last name - 16th Student(*)

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Full name of the 17th Student:(*)

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Class number - 17th Student(*)

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Professor's last name - 17th Student(*)

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Full name of the 18th Student:(*)

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Class number - 18th Student(*)

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Professor's last name - 18th Student(*)

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Full name of the 19th Student:(*)

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Class number - 19th Student(*)

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Professor's last name - 19th Student(*)

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Full name of the 20th Student:(*)

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Class number - 20th Student(*)

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Professor's last name - 20th Student(*)

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Submit

350 Student Union, Buffalo, NY 14260
E ubsa@buffalo.edu
P (716) 645-2950
F (716) 645-2112