Contact Us

Academic Support Center
Austin Peay State University
Marks Building, Room 122
P.O. Box 4396
Clarksville, TN 37044
(931) 221-6553
academicsupportctr@apsu.edu

SLA Leader Absence Request

This form should be used by current SLA Leaders to request absences from work.

Name: *

Last name first

APSU email address: *

Any replies will be sent to your APSU email address

Start date of absence: *

End date of absence:

Leave blank if you will only be absent one day.

Workshop time(s)/ location(s): *

Enter the time and room number for each workshop you will miss.

Reason for absence: *

Have you already coordinated for a replacement?: *

Yes

Some (specify which)...

If so, who is the replacement?:

Do you have your lesson plan on file with the SLA Facilitator?: *

Yes

Additional information:

What else we should know in order to support your students?

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