Oakton High School Prearranged Absence Form
This form is used for absences of 3 or more consecutive days
This form must be submitted at least 5 school days prior to the start of the absence
Parent or Guardian (Full Name)
Student Last Name
Student First Name
Student ID #
Student Email Address
Request Absence Start Date
Request Absence End Date
Excused absences may include, but are not limited to, the following reasons: illness (including mental health and substance use illness), injury, funerals, legal obligations, medical procedures, religious observances, military obligations, deployment-related absences, family emergencies, or other reasons deemed acceptable to the principal. if the reason for the prearranged absence is different from one of the examples of above please indicate the reason for the absence using the "other" option. Parents must plan to arrange for their child to complete make-up work, tests, or projects. If the students absences are excessive, a parent conference may be required. Students who are absent 15 or more consecutive school days will be withdrawn from enrollment. *civic engagement activities are optional , and are not supervised by FCPS. Such requests are limited to one time per year.
I acknowledge that I have reviewed these requirements
Please Provide a reason for absence
Civil Engagement Activity*
If you answered "other" for the previous question please provide your reason
Students Must Email ALL of the teachers on their schedule and your school administrator (listed below) with the dates and details of your absence.
Mr. Olivo /
/ Student Last Names A-C
Ms. Rodeheaver /
/ Student Last Names D-IN
Mr. Oberndorf /
/ Student Last Names IP - MIZ
Mr. Stroud /
/ Student Last Names MJ-SEL
Ms. Landis /
/ Student Last Names SEM-Z
YES, I have emailed all of my teachers and included my school administrator
Please submit this form for review - I have completed all of the requirements. Your request will be reviewed by Oakton Administration (to determine whether the absence will be excused or unexcused) you will receive an email response prior to the start of the absence. Parent, please Initial Below
Send me a copy of my responses.
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This form was created inside of Fairfax County Public Schools.