Homework Request for Students
This request should only be used if the student is missing 3 consecutive days or more of school. Any request made prior to 1 p.m. will be ready the following school day AFTER 2:30 p.m. If the request is made after 1 p.m. the request will not be ready for pickup until AFTER 2:30 p.m. two school days following the request.

COMPLETING THIS FORM DOES NOT EXCUSE THE ABSENCES. PARENTS/GUARDIANS MUST CALL 734-419-2207 TO REPORT OR EXCUSE ANY ABSENCE.

First Name
Your answer
Last Name
Your answer
Student Number
Your answer
Duration of Absences
Beyond 5 days, please contact the counseling office at 734-419-2215.
Date that Homework Request should Begin
MM
/
DD
/
YYYY
Reason for Absences
If the reason for absence was "Personal", please explain.
Your answer
Name of person completing the form.
Your answer
Any additional information, please comment below.
Your answer
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