Student Absence Request

BUTI - 2026 Student Absence Request

In cases where a student will be absent from academic obligations and/or absent overnight, please complete this Absence Request Form in advance of the requested absence. The Authorized Travel Companion named on this form is required to sign the student out with the Student Life Office prior to departure, and must sign the student in immediately upon return to campus. Students are not permitted to miss academic obligations or be absent overnight without an approved Absence Request Form.

Student Name*
First Last
Select the program during which the absence will take place*
Area of study*
Absence Start Date*
Month
Day
Year

The date the student will be checked out.
Absence Start Time*

The time the student will be picked up.
Return Date*
Month
Day
Year

The date the student will be checked back in.
Return Time*

The time that the student will check in at the Student Life Office upon return.
Reason for absence*
Please provide any relevant details regarding the absence
Will a parent/legal guardian be picking the student up?*
- Yes
- No
Authorized Travel Companion*
First Last
Please identify who will be picking up and/or driving the student as the Authorized Travel Companion. This person will need to come inside to the Student Life Office and show photo ID to check out the student.
Authorized Travel Companion Phone*
Mode of transportation*
Name of person submitting form*
First Last
This form must be submitted by a parent or legal guardian
Email of person submitting form*

Any relevant information pertaining to this absence request will be directed to this email address
Digital Signature*

By signing above, I understand that I am requesting permission for my child to be absent from academic obligations and/or overnight and that this request must be approved by BUTI Administration. If approved, I understand that my child will receive written confirmation of approval via email. I understand that I am giving authorization for my child to leave the BUTI campus with the Authorized Travel Companion named above. I understand that I am giving authorization for the Authorized Travel Companion to drive my student. I understand that my child must check out with the Student Life Office at the time of departure, and must check in with the Student Life Office immediately upon return. By signing above, I agree that I am the parent/legal guardian of the student indicated on this Absence Request Form and agree that by typing my name on the signature line above, this Absence Request Form will be treated in all respects as having the same force and effect as an original handwritten signature.