Excused Absence Request Form

This form is to be filled out at least 48 hours in advance of the requested meeting.
In case of an emergency request please contact your post Captain or Advisor.

Please enter your information below:

Explorer Name
E-mail
Telephone

What is the reason for the absence?

School Related
Work Related
Family Related
Church Related
Illness/Injury*
Other
 
*Illness and/or injury may require a doctor's note for approval.
 

Please Explain Your Reason For The Absence:

Please enter the dates of the absence:

        Month-Day-Year
        Month-Day-Year
        Month-Day-Year

***Notice: This form does not guarantee an excused absence, if you provided an email address you should receive a response back in the next few days. Repeated excused absences may also be cause for disciplinary action, so please do not abuse them.***

Jason K. Mills ~Lead Explorer Advisor
Copyright © 2007 Monmouth Fire Department. All rights reserved.
Revised: 08/23/07.