Agreement for Completion of Work Due to Student Athlete Being Gone for An Extended Period of Time
The UMD Faculty Athletic Representative recommends this form as a tool to facilitate consultation and
agreement between instructor and student when a student athlete will be missing class for an extended
period of time.
Student name:
ID #:
E-mail address:
Course/Section Semester/Year:
Instructor:
Reason for the Student Athlete’s absence:
☐ Student has signed to play professional hockey for the rest of the semester
☐ Student will participate in an international sports competition
☐ Other: please specify
Work to be completed (include any special
restrictions or requirements)
Deadline for completion
Student signature
Date
Instructor signature
Date
It is recommended that the instructor, student, and department each retain a copy of this agreement.
Note: If the course can’t be completed by the end of the semester, use the Incomplete form instead.