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Riverview STEM Academy Absence Verification
Student absences need to be reported daily before 9:30 am every day they are not at school. You can complete this form to report your student's absence now. Thank you!
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* Indicates required question
Email
*
Your email
Email
*
Your answer
Student's First Name
*
Your answer
Student's Last Name (include FULL last name)
*
Your answer
Student's Grade Level
*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Date of Absence
*
MM
/
DD
/
YYYY
Select a reason for your student's absence:
*
Student illness
Funeral (Immediate Family)
Religious Holiday
Special Event (Principal Approval required in advance)
Student Medical/Dental Appointment (please obtain a doctor's note)
Family Emergency
Other:
If other, please provide a brief explanation for your student's absence.
Your answer
First Name of Caregiver Reporting Absence
*
Your answer
Last Name of Caregiver Reporting Absence
*
Your answer
Relationship to student
*
Your answer
Caregiver's Email
Your answer
Caregiver's Phone Number
*
Your answer
A copy of your responses will be emailed to the address you provided.
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