2025 Absence Form

It is the responsibility of a parent/guardian to notify UB staff of additional abscences that may arise. This form can be submitted multiple times.

Participant Name(Required)
Anticipated Absences

Week 1: June 1 at 1:30 pm to June 6 at 3:30 pm


Please enter reason for conflict in the box below each date. Give approx. leave and return times

Week 2: June 8 at 6:30 pm to June 13 at 3:30 pm


Please enter reason for conflict in the box below each date. Give approx. leave and return times

Week 3: June 15 at 6:30 pm to June 20 at 3:30 pm


Please enter reason for conflict in the box below each date. Give approx. leave and return times

Week 4: June 22 at 6:30 pm to June 27 at 3:30 pm


Please enter reason for conflict in the box below each date. Give approx. leave and return times

Week 5: June 29 to July 2 (trip to Washington, DC. Details to follow). There will be an assignment to complete online on July 3.


Mark if you plan on attending
Attending(Required)

Week 6: July 7, 8, 9, 10, and 11. This week is VIRTUAL & the time window is 10 am to noon.


Please enter reason for conflict in the box below each date

Clear Signature
This field is for validation purposes and should be left unchanged.