Absence Verification

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Absence Verification

Only one form per student. Each student is filed separately by grade/teacher.

Email *

Your email

Student First Name *

Student Last Name *

Current Grade Level *

Teacher *

Ms. Vasquez (TK/Kinder)

Ms. Martinez (TK/Kinder)

Mrs. Angulo (1st Grade)

Mr. Tillman (2nd Grade)

Mr. Vinton (2nd/3rd Grade)

Ms. Pleitez (3rd Grade)

Ms. Arcos (4th Grade)

Mr. Alvarez (5th)

Mrs. Noah (6th)

Date of Absence *

YYYY

Reason for Absence *

Please understand that all absences are not excused.

Student Illness (Excused up to 2 days, anything further requires a signed doctor's note)

Student Medical/Dental/Optometric Appointment (Excused with a doctor's note)

Personal / Vacation (Unexcused)

Bereavement (Excused up to 3 days)

Religious Observances

Other:

By typing my first and last name in this box, I affirm that I am clearing this absence as the scholar's legal parent or guardian (Please type name below). *

Relationship to student *

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