
Get the free Clerkship Excused Absence Request form - College of Osteopathic ... - com msu
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MSU College of Osteopathic Medicine
Clerkship Program
Excused Absence Request
All absence requests are subject to:
? Limitations as outlined in the course syllabus attendance policy
? Medical Education
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How to fill out clerkship excused absence request

How to fill out clerkship excused absence request:
01
Start by accessing the necessary form. Check with the clerkship program coordinator or supervisor for the specific form or document required to request an excused absence from your clerkship.
02
Read the instructions carefully. Take the time to review any instructions provided with the form. Make sure you understand the requirements, deadlines, and any supporting documentation needed.
03
Provide personal details. Begin by filling out your personal information accurately. This may include your full name, contact information, student ID or personnel number, and your clerkship start and end dates.
04
State the reason for the absence. In a clear and concise manner, explain the reason why you need an excused absence. Be honest and provide sufficient details to support your request. Examples of valid reasons may include illness, family emergencies, or academic conferences.
05
Attach supporting documentation. Depending on the requirements outlined in the instructions, you may need to attach relevant documents to support your request. This could include medical certificates, travel itineraries, or other supporting evidence.
06
Include contact information. Provide current contact information where you can be reached during the period of absence. This may include a phone number and email address.
07
Submit the request. Once you have filled out the form and attached any necessary documents, follow the provided instructions for submission. This may include submitting the request electronically, sending it through a specific channel, or delivering it in person.
Who needs clerkship excused absence request:
01
Medical students participating in a clerkship program.
02
Clerkship program participants who anticipate requiring time off during their clerkship period.
03
Students who have encountered unforeseen circumstances or emergencies that necessitate an excused absence from their clerkship duties.
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What is clerkship excused absence request?
The clerkship excused absence request is a form used to request permission to be absent from clerkship duties.
Who is required to file clerkship excused absence request?
All medical students participating in clerkships are required to file a clerkship excused absence request.
How to fill out clerkship excused absence request?
To fill out the clerkship excused absence request, students must provide details of the absence, reason for it, and any supporting documentation.
What is the purpose of clerkship excused absence request?
The purpose of the clerkship excused absence request is to ensure that students are following protocol when needing time off from clerkship duties.
What information must be reported on clerkship excused absence request?
The clerkship excused absence request must include the student's name, clerkship rotation, dates of absence, reason for absence, and any supporting documentation.
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