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HILBERT HIGH SCHOOL

Anticipated Absence

                Student Name: __________________________________________________

                Dates of absence(s):_______________________________________________

                Reasons:

As a parent, I fully realize that school work lost due to absence can never be completely made up, since valuable class discussions, teacher explanations and demonstrations, supervised study, audio-visual aids, etc. are missed, and that the student’s grade and rank in class may therefore suffer.  As a parent, I assume full responsibility for the make-up work.

Upon receipt of this application, the teachers concerned will be asked to give advance assignments.  These are to be handed in before the absence occurs, unless other arrangements are made.

                                                _________________________________

                                                        Signature of Parents

                __________________________                _________________________________

                         Date                                                Signature of Principal

        Assignments – Subjects        Hour                Teacher’s Signature                Date

        ___________________        _____                ___________________               ________

 

        ___________________        _____                ___________________        ________

        ___________________        _____                ___________________        ________

        ___________________        _____                ___________________        ________

        ___________________        _____                ___________________        ________

        ___________________        _____                ___________________        ________

        ___________________        _____                ____________________        ________

        ___________________        _____                ____________________        ________

(Please return signed form to the office prior to your absence)