Request for Independent Study - Electronic Form
Request an Independent Study at least five (5) school days prior to the expected absence. If this condition is not met, the days missed will be counted as absences.
Email address *
Child's First and Last Name *
Your answer
Grade Level *
Your answer
Parent's First and Last Name *
Your answer
Parent's Email Address *
For receiving confirmation
Your answer
Parent's Phone Number
Your answer
First day of Absence *
MM
/
DD
Last day of Absence *
MM
/
DD
Reason For absence *
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Sebastopol Charter.