Planned Absence Form
A planned absence involving TWO OR MORE days or a college visit must be approved by the assistant principal who will determine whether or not the absence is excused. THIS GOOGLE FORM MUST BE FILLED OUT BY THE PARENT/GUARDIAN AT LEAST ONE WEEK PRIOR TO THE ABSENCE.
It is the student's responsibility to connect with her teachers and she is responsible for all work upon her return to school. Please make sure that you are SOCIAL DISTANCING AND WEARING A MASK when you are absent.
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Dates of Absence (* Note the dismissal time needed if the student is leaving early from school)
Student's Last Name
Student's First Name
Student's Graduation Year
Parent/Guardian's Last Name
Parent/Guardian's First Name
Type of Planned Absence:
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This form was created inside of Ursuline Academy.