‚ÄčExtended Ed Instructor Absence Report Form
* indicates a required field

Date(s) of Absence *

Enter date(s) of absence

Last Name *

Enter your last name

First Name *

Enter your first name

Email *

Enter your email address

Site *

Course location

Section & Course *

Ex: Math 102 F1607 & MATH 101 F4299

Absent the whole day *


Additional Comments

Days/Hours Absent *

Ex: Monday 1-2:00 pm & 3-4:30 pm

Reason for Absence *

Choose a reason for your absence above (required)

Substitute *

Make-Up of Sub? (If sub, include name & hrs to be compensated-must be preapproved)

Students Notified? *

Were your students notified of your absence? (We encourage faculty to send a notice via MyShasta and/or Canvas to students)

Post Sign? *

Does a sign need to be posted?

EIN # (0123456) *

Enter your EIN# (available in MyShasta on your Pay Advices).

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