EXCEPTIONAL ABSENCE FORM

Discuss any concerns about the effect or your absence on your studies with the Medical School, your Personal Tutor or Student Support as a matter of urgency.

Completing the form:

Please ensure you have filled in the absence dates correctly before submitting the form as it is not possible to edit these dates after submission.
Note: Please refer to Student Attendance and Leave Policy and associated documents when completing these forms.

Please ensure you have filled in the absence dates correctly, accurately and honestly before submitting this form

Student Number

Absence Start Date

Absence End Date

Absence Reason

Further Information- Optional.

Supporting Files- Hold Ctrl and click to select two files. Choose a file...

By pressing the submit button I agree to the University of Buckingham recording and processing this information about me. I understand that the information will only be used for the purpose(s) set out above and my consent is conditional upon the University complying with its duties and obligations under the Data Protection Act.