Instructor Travel Release Form
Student Name Class Name Dates of Trip
Class Number Travel Location
Trip Purpose
Time/Days of Class
Advisor Responsible for Travel
Advisory Signature
I _________________________________ am requesting to be excused from class on the travel dates (Student Name) listed above. I understand that I am responsible for completing any work missed. I also understand that it is my responsibility to coordinate any missed work with my instructor.
Student Signature
I _________________________________, authorize the student listed above to be excused from class (Instructor Name) on the dates listed above. I have discussed the class work that will be missed and have spoken with the student regarding completing this work.
Faculty Signature
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