Get Uic M3/m4 Clinical Experience Excused Absence Request Form 2017-2026

The UIC M3/M4 Clinical Experience Excused Absence Request Form is an essential document for students seeking permission for an absence from clinical experiences. This guide will walk you through each section of the form, ensuring you can complete it accurately and effectively online.

Follow the steps to complete the form seamlessly

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Enter your personal details in the designated fields, including your student name, UIN, email address, and phone number.
3. Indicate the type of absence you are requesting by selecting one of the following options: Clerkship, Elective, or Sub-Internship.
4. Fill in the title of the clinical experience from which you are requesting the absence.
5. Specify the location of the clinical experience where the absence will occur.
6. Detail the date(s) for which you are requesting the absence.
7. Select the reason for your absence by checking the appropriate box. Ensure you consider the options provided and any necessary documentation that may be required.
8. If your reason falls under the 'Other circumstances' category, please describe the situation clearly in the space provided.
9. Once you have completed all sections, review your information for accuracy before submitting.
10. Lastly, save your changes, and then you can download or print the completed form for emailing to the Clerkship/Elective/Sub-Internship Director for approval.

Begin completing your UIC M3/M4 Clinical Experience Excused Absence Request Form online today!