Authorization to Leave School Grounds

1. Fill out this form completely

2. Obtain approval from your advisor before or during the Morning Advisement period
3. Before leaving the building, present this form at the Deans Office and sign out
4. Upon returning to the building, sign in at the Deans Office and submit this form

Student Name:____________________________________ Advisement:_____________

Date:_____________ Time Departing:__________ Time Returning:_________

Reason for Leaving:____________________________________________________________

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Educational Purpose:___________________________________________________________

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Advisors Signature