Appendix D Absence Make-Up Form Site Coordinator Name: Date: Teacher Candidate Name: Teacher Candidate R Number: Mentor Teacher Name: Teacher Candidate Campus: II propose to make up all absences, planned or unplanned, on the following dates (prior to date in which grades are due according to the TTU academic calendar). I understand that failure to make up these absences according to the approved plan will result in a failing grade in student teaching. Date of Absence Followed Protocol for Suggested Make-up Date Absence Request (Yes/No) 1. 2. 3. 4. 5. Teacher Candidate Signature ______________________________________Date: ______________ Approved Disapproved Site Coordinator Signature_______________________________________Date: ______________ Comments/Additional Notes: If the Site Coordinator approves the Absence Make-Up Plan, the Teacher Candidate submits a copy to the Mentor Teacher. If the Site Coordinator does not approve the plan or the Teacher Candidate is unable to make-up the absences, Teacher Candidates should contact the Site Coordinator to arrange a meeting to discuss possible solutions, including a medical withdrawal.