Forms

Faculty/Staff 

• Promotions Committee Recommendation Form
• Professionalism Report
• Report a concern or complaint 
• Allied Health Student/Trainee Request Form

 
Students 

• 
  
  M1M2 Absence Request Form
• M3 Leave Request Form
• M3 Online Leave Request Form Effective for the Class of 2025
• M4 Leave Request Form
  
  
  
• Leave of Absence/Schedule Modification Form
• QCOM Permission Form for Modification of Examination Schedule
• Report a concern or complaint
• Medical or Religious Exemption to a Clinical Affiliate’s Vaccine Requirement
  
  This form should be completed by East Tennessee State University Faculty or Students requesting a medical or religious exemption to a Clinical Affiliate’s vaccine requirement. Please return the form to Dr. Stoltz in Student Affairs.