JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Excused Absence Form
District policy requires all absences must be reported within one week. Prearranged absences must be submitted at least 24 hours in advance. It is the student's responsibility to reach out to the teachers and collect assignments.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name
*
Your answer
Grade
*
6th
7th
Reason
*
By state law reasons that are valid are: illness (mental or physical illness), family death, absence permitted by an IEP or 504 plan.
Sick
Doctor Appointment
Dentist Appointment
Vacation/Out of town
Other
Date Absent
*
MM
/
DD
/
YYYY
Prearranged Extended Absence Dates
* MUST include the start date and end date
(mm/dd/yy)
* Students are responsible for any missing assignments
You may:
use this
form
or
Contact teachers via email
Your answer
Parent Name (This acts as a signature)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Box Elder School District.
Does this form look suspicious?
Report
Forms
