Request to be Excused to Present at a Professional Conference/Fulfill Professional Obligation

Please provide your name and contact information
Name of the conference/professional obligation that you plan to attend
Dates that you are proposing to attend
Your role at the conference/professional activity
Course(s) that will be impacted because of your potential absence
Course activity(s) that will be missed because of your potential absence
Name(s) of course directors
I have emailed evidence of my acceptance to present at a professional conference or fulfill a professional obligation to
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