REASON FOR ABSENCE NOTE
Please fill in the following questions
Student Name *
Date of absence *
MM
/
DD
/
YYYY
Days absent: *
Grade *
Indicate below the valid cause for the student’s absence(s) *
Circumstances which cause reasonable concern to you for your child. Explain (You may write either in Korean, Khmer, or English)
Other situations beyond the control of the student, Explain (You may write either in Korean, Khmer, or English):
Print Parent/ Guardian Name *
Phone Number *
Parent/ Guardian Signature / Date *
Submit
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