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MBA Lockdown Attendance Reporting
Updated 11/2019
Teacher (Last Name) *
Your answer
Teacher (First Name) *
Your answer
Substitute Teacher's Name (Leave blank if you are not a sub.)
Your answer
If you are a substitute, what is the password of the day? (Leave blank if you are not a sub.)
Your answer
Room number / Location *
Your answer
Phone Extension
Your answer
Are ALL students on your class roster present?
List the names of ABSENT or MISSING students.
Your answer
List the names of other adults with you. (Leave blank if there are none.)
Your answer
Missing Staff (Staff who are usually in your classroom, but are not present at this time.)
Your answer
Extra Students (Students who are with you, but who are not on your class roster.)
Your answer
Does anyone in your room need immediate medical assistance?
If you or your students have any information that will assist us in managing this situation, please list.
Your answer
Should we need to contact you, what is your cell number?
Your answer
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