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Last Date of Attendance Report

MISSOURI SOUTHERN STATE UNIVERSITY
OFFICE OF THE REGISTRAR


Please note: THE STUDENT MUST HAVE ATTENDED AT LEAST ONE CLASS SESSION IN ORDER FOR YOU TO COMPLETE THIS FORM. Do not report "Never Attended" on this form. The Class roster is the only appropriate document used to notify the Registrar's Office on non-attendance.

This information is required to meet federal financial aid regulations.

This form will not drop the student from the course.


The following student has not been present or participating in my course for the past ten (10) days.
*Student Name: 
*SID: 
*CRN: 
*Dept. & Course Number: 
*Last Date of Attendance/Participation (MM/DD/YYYY): 
The following entry of your Name, SID and PIN will constitute as an electronic signature.
*Instructor E-Signature: 
Employee SID
PIN