Attendance Submission for Emergency

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Please complete this form to submit attendance during an emergency when completing and collecting physical forms is not possible or timely.

*If an emergency occurs during passing period or lunch, students and staff are directed to return to their previous period whenever possible*

What is your name? *

What period class do you have with you during this time? *

Before School

LUNCH

After School

What is your ROOM # or LOCATION? *

List other adults or staff in your room with you now. *

SECTION A - Students who were ABSENT WHEN ATTENDANCE WAS TAKEN at the beginning of class TODAY. *

SECTION B - Students who were in class today but are ABSENT DURING EVACUATION *do not include students from Section A* *

SECTION C - Students WITH YOUR CLASS at the time of emergency but NOT ON YOUR ROSTER

**SECTION D - List of ALL students/staff in my room *

I have my radio on and have communicated any medical emergencies with front office/admin/school police. *

Yes!

No.

Other:

ADDITIONAL INFORMATION WE MAY NEED TO KNOW

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