VVMS Absence E-Verification Form
Student Absence E-Verification Form
Student's First and Last Name *
Your answer
Student's Grade *
Date of Birth *
MM
/
DD
/
YYYY
Date(s) Student was Absent *
(Please list all the dates in mm/dd/yyyy form.
Your answer
Reason for Absence *
If you selected funeral/bereavement, indicate the relationship of deceased to student (immediate family only)
Your answer
If Other, what was the reason (not excused)
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email Confirmation *
Provide an email to receive a confirmation of this information.
Your answer
Parent/Guardian Phone Number (must match what we have on file) *
Your answer
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