Panola College Official Class Absence Statement
(Print, fill out, and turn in to Office of Dean of Instruction.)

Students listed below are scheduled to participate in the following event:

     EVENT ____________________________________________________________

Participation will require their absence from class:

     FROM ____________________________ TO _____________________________
                           (Date & Times)                                                            (Date & Times)

It is requested that students be allowed to make up all work missed during the times indicated.

     LIST OF STUDENTS

________________________________     ________________________________
________________________________     ________________________________     ________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________
________________________________     ________________________________

Requested by: _________________________________
                            (Sponsor)

Recommended by: ______________________________
                                               (Division Chair)

Approved by: __________________________________
                                      (Dean of Instruction)