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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