Long-term Absence Report Form [장기 결석 신고서]

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Last updated: August 11, 2026

For absences of 3 or more school days, please complete this form.

1 form per student is required.
For long-term absences (5 days or more), additional documentation may be requested (i.e. medical certificate, competition registration form etc.).
A student's parent or legal guardian must submit this form. Submitting false information may result in disciplinary or administrative action.

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본 양식은 3일 이상 장기 결석의 경우에 제출합니다.

Email *

1. Submitter: Relationship to Student (제출자: 학생과의 관계)

Parent (학부모)

Guardian (법정 보호자)

Other:

2-1. Student: Last Name (학생 영문 성) *

2-2. Student: First Name (학생 영문 이름) *

3. Grade Level (학생 학년) *

4-1. Date From (장기 결석 시작일) *

YYYY

4-2. Date To (장기 결석 종료일) *

YYYY

4-3. Reason (장기 결석 사유)

Illness/Sickness (질병)

Family Event (가족 행사; 여행, 경조사 등)

Non-DIS Extra Curricular Activities (외부 활동; 각종 대회 출전, 시험 응시 등)

Other:

5. Notes if needed (기타 비고)

6. Parent/Guardian Statement (제출자 성명서) *

I confirm the information I provided is accurate. (본인은 상기 제공한 정보가 사실임을 확인합니다.)

Required

A copy of your responses will be emailed to the address you provided.

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