School Absence Note

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

School Absence Note

Please explain why your student was absent from school so that we may enter the appropriate absence code.

Note: The school must receive this completed form and any required documentation within 3 school days of your child's return to school.

Student First Name: *

Student Last Name:
*

Campus
*

Current Grade Level:
*

Absence Beginning Date:
*

YYYY

Return to School Date:
*

YYYY

My child was absent because of:
*

Illness (Have Doctor's Note)

Illness (No Doctor's Note)

Partial Day Healthcare Appointment (Student will attend part of the school day) *Documentation Required

Healthcare Appointment (student will not attend school) *Documentation Required

Emergency in Immediate Family (Verified but not Excused unless approved by Campus Principal)

Funeral of Immediate Family Member *Documentation Required

Official Court Appearance Required *Documentation Required

College Visit (11th or 12th grade only) *Documentation of Attendance from College Required

Religious Holy Day *Parent Note Required

Vacation/Wedding/Graduation etc. (Verified but not excused)

Department of Motor Vehicle (DMV) *Documentation Required

Workplace Visit (11th or 12th grades only) *Documentation on Business Letterhead or Attendance Required

Other:

If OTHER please explain:

Parent / Guardian Email Address:
*

Today's Date *

YYYY

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Three Way Independent School District.

Does this form look suspicious? Report