EmailMeForm
Absence Request/Excuse Form 2022-2023
Students will be allowed four (4) days per year in which the absence can be excused. A minimum of three (3) days written notice to the Division Head is required in order for the prearranged absence to be excused.
After the absence is excused, the office will notify the teacher (s) that it has been approved. The student then must arrange with his/her teachers for all the assignments to be missed during such absence, and all make-up work must be completed within as many days as the student was absent. Work assigned before the absence will be due upon returning to school.
Student Name
First
Last
Student's Division
Please select
Early Childhood
Elementary
Middle School
High School
Student's Grade
Please select
12th
11th
10th
9th
8th
7th
6th
5th
4th
3rd
2nd
1st
K
TK
PreK
Name of Parent Filling Out This Form
First
Last
Parent's Email
Parent's Phone
###
-
###
-
####
This is a:
Request for FUTURE absence. Pre-approved requests must be submitted at least 3 days prior to the absence.
Excuse for PREVIOUS absence
Beginning Date of Absence
MM
/
DD
/
YYYY
Expected to Return to school on:
MM
/
DD
/
YYYY
Absence Reason
By checking this box, I certify that this absence is verified for the reason above. This checkbox serves as your electronic and binding signature.
I verify that I am the parent/guardian of the student named above.
Please Type your name as your electronic signature.
First
Last
