Office of the Dean of Students: Grief Absence Request

Background Information

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Date of submission(Required):

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Please enter your information below:

Full Name

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

The following information is needed to begin processing your request.

What is the relationship of you to the individual? If the individual is an in-law or step-relative, please select their corresponding relationship. If the relationship is not listed below, this form should not be completed and you should contact the Office of the Dean of Students by phone (219-989-4141) to discuss your request.(Required) This field is required.

Please share any information you think is important for us to be aware of including requested dates of absences and courses that may be effected during your absence.(Required) This field is required.

Please provide the link to documentation to verify the absence if available (such as an online obituary link, funeral announcement, or death notification). If providing some other form of documentation, please choose the file and upload in the section below. Documentation must be in English or must be able to be translated. This field is required.

Have you contacted your professors regarding your absence?(Required)

Yes No

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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Background Information

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The following information is needed to begin processing your request.

Supporting Documentation

Submission