Susquehanna UniversitySusquehanna University - Student Life

Division of Student Life

 

Funeral Leave Form

I, , will miss/missed classes from to to attend my 's funeral.

My e-mail address:

Name of deceased:

Name of funeral home:

Phone number of funeral home:

and/or

Location of funeral home: City and State

Susquehanna University Last updated
Phil Winger, Vice President for Student Life, Division of Student Life
Susquehanna University, Selinsgrove, PA 17870
Telephone: 570-372-4134