NORTHSHORE MIDDLE SCHOOL HOME OF THE TITANS Report an Absence or Early Dismissal/ Justificación de faltas de estudiantes NMS -Please bring ID when checking student out/Por favor traiga una identificación cuando revise al estudiante.

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Email *

Please share YOUR first and last name / Nombre y apellido de Ud/Por favor, compartilhe SEU nome e sobrenome *

What is the best method to contact you if we need to follow up with you? / ¿Cuál es la mejor forma de ponernos en contacto con Ud.? *

Phone/Teléfono

Please provide your follow up phone or email as per above. / Número de teléfono y correo electrónico preferido *

Please tell us your STUDENT's first and last name. / Nombre y apellido del estudiante *

Please provide the date of the absence you are excusing. / ¿Cuál es la fecha de la falta que quiere justificar? *

YYYY

Mandatory Covid Questions check one or more *

A fever of 100.4 or greater/fiebre de 100.4 o más

Shortness of breath or difficulty breathing/falta de aliento o dificultad para respirar

Muscle or body aches, Medical (NOT my student is sore from exercise)/Dolores musculares o corporales, médicos (NO mi estudiante está adolorido por el ejercicio)

New loss of taste or smell/nueva pérdida del gusto o del olfato

Congestion or Runny Nose/Congestión o secreción nasal

Nausea, vomiting or diarrhea (NOT gas pains or nervous stomach)Náuseas, vómitos o diarrea (NO dolores de gases o estómago nervioso)

Headache (do not choose this if your student has diagnosed MIGRAINES)Dolor de cabeza (no elija esto si su estudiante ha sido diagnosticado con MIGRAÑAS)

Fatigue, Medical (NOT my student was tired and/or did not sleep well)/Fatiga médica (NO mi estudiante estaba cansado y/o no durmió bien)

Sore Throat/dolor de garganta

My student has NONE of the ABOVE Symptoms/Mi estudiante no tiene NINGUNO de los síntomas ANTERIORES

Required

Please choose the period (s) you are excusing. / Escoja el periódo de la falta que quiere justificar.

Period 0

Period 1

Period 2

Period 3

Period 4

Period 5

Period 6

Please select ONE / Elija todas las opciones que correspondan. *

My student was HOME please mark the absence EXCUSED. / Mi estudiante tuvo una cita a esa hora. Favor de justificar la falta.

My student is/was ILL please mark them as EXCUSED. / Mi estudiante estaba enfermo. Favor de justificar la falta.

My student DID NOT ATTEND, please mark the absence as UNEXCUSED. / Mi estudiante no asistió ni se puso en contacto con su(s) maestro(s). Favor de dejar su falta sin justificación.

My student will be ARRIVING/ARRIVED LATE for school

My student has an EARLY DISMISSAL (provide time below)

Other:

Early Dismissal Time: (We will have your student in the attendance office for you to sign out at this time)

Time

If someone other than yourself will be picking up your student please provide their name here:

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

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