STUDENT INFORMATION

As part of your medical training, a high rate of attendance is key to your success as medical students. At the same time, we recognize that there are instances, which necessitate you to take time away from the MD Program. Please review the MD Program’s regulations for student attendance and guidelines for approved absences from mandatory activities, colloquially known as the 'absence policy', and complete this absence request form.
Student Number*field type single line
Please enter a valid University of Toronto Student Number.
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Last Name*field type single line
Student Surname or Family Name (as in ACORN and MedSIS)
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First Name*field type single line
Student Given Name (as registered, please do not include nicknames, aliases or brackets).
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Preferred Namefield type single line
If desired, you may indicate a commonly-used or preferred name
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Email Address*field type email
Student UTmail+ email address. Communication with student will be routed to this address.
Year of Study*field type radio button
Year of Study1234MEC
Academy*field type drop-down
Student Accountability*field type radio button
I will inform the relevant tutors, preceptors, site leads, and other relevant educational staff of my absence from the scheduled small group learning activities and/or clinical rotations.
Student AccountabilityI Agree

DOCUMENTATION

Please review the School Absences website for information on whether or not you are required to provide documentation to support your absence request.

Attach File(s)field type file upload
If documentation is required, you may attach the file(s) to this form.

Do not upload any files containing personal health information.

Accepted file formats: .pdf, .doc, docx, .tif, .txt, .rtf, .jpg, .png

File names should not contain spaces, commas, brackets, extra dots or hyphens.

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Clicking on the file name before submitting the form will disrupt the proper attachment of the file to the form.
Before submitting, please scroll up and check that you have entered the correct student number and email address.

SCHOOL ABSENCE REQUEST

STUDENT INFORMATION

ABSENCE REQUEST

DOCUMENTATION