Absence Report - Informe de ausencia
(Por favor ingrese el correo electrónico)
Sign in to Google to save your progress. Learn more
Email *
Student First and Last Name & Advisory - Nombre del estudiante y asesoramiento *
Date of Absence - Fecha de ausencia *
Full Day or Partial Day?  - ¿Día completo o día parcial?
Clear selection
If partial day, specify times below - Si es día parcial, especifique los horarios
Other - otro
Reason for Absence: *
Required
SYMPTOMS of ILLNESS (please select all that apply)
Fever (please fill in temperature below) - Fiebre  (introduzca la temperatura)
Other Illness Details - Otros detalles de la enfermedad
If you have a doctor's note, please email it to Kristin Kasten: kkasten@artech.k12.mn.us - Si tiene una nota del médico, por favor, envíelo por correo electrónico a Kristin Kasten, kkasten@artech.k12.mn.us
Has your child or anyone in your home been tested for COVID and waiting for results? - ¿Se ha hecho la prueba de COVID a su hijo o a alguien en su casa y está esperando los resultados?
Clear selection
If you would like to speak to our school nurse, Gail Setterstrom, she can be reached at gsetterstrom@arcadiacharterschool.org  - Si desea hablar con nuestra enfermera escolar, Gail Setterstrom, puede comunicarse con ella en gsetterstrom@arcadiacharterschool.org
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Northfield School of Arts and Technology.

Does this form look suspicious? Report