PREP Application for Excused Absence

Students submitting this application should ensure they have read and understood CPLED’s policies.
This form should be used to request an excused absence from a student’s program due to extenuating
circumstances. Applications for extended absences should be addressed by way of an Application for
Deferral.

Name*
First Last
CPLED Student ID/Account Number*
To locate your CPLED Student ID/Account Number, please follow these steps: 1. Log into the CPLED Student Portal. 2. Navigate to your tuition fee invoice, where you will find your CPLED Student ID/Account Number listed.
Email*
Phone*
I request to be excused from the following portion(s) of PREP held on the date(s) listed:*
I request to be excused for the following reasons:*
Supporting Documentation
I am providing the following documentation in support:
Max. file size: 200 MB.
I confirm that I have read and understood the requirements of this form and any relevant CPLED policies. I affirm that all the information and documentation provided in support of this application are accurate and true. I understand that CPLED may request further information and documentation from me in support of my application. For the purposes of verifying authenticity, I authorize CPLED to contact anyone who provided documentation submitted in support of this application, including but not limited to medical documentation.*
First & Last Name