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Chavez MS Student Absence Report
(FOR VERIFIED PARENT/GUARDIAN ABSENCE REPORT USE ONLY)
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* Required
Email
*
Your email
Parent/Guardian Email (Must have an email on file with school)
*
Your answer
STUDENT's First Name
*
Your answer
STUDENT's Last Name
*
Your answer
Student ID#
Your answer
Student Grade
*
6th
7th
8th
Check box:
6th
7th
8th
Check box:
Date of Absence(s): *Note: 5 school days to clear an absence after absence occurs
*
(Please list additional dates here)
Your answer
Reason for Absence:
*
Medical Appointment
Family Emergency
Personal
Sick
Covid Concerns
Other:
Relationship to Student:
*
Mother
Father
Other
Check Box:
Mother
Father
Other
Check Box:
Reported by: (Enter First and Last Name)
*
Your answer
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