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Report an Absence / Reportar una Ausencia
Please use this form to report to provide a reason for your student's absence. / Utilice este formulario para informarnos del la razón por la ausencia de su estudiante.
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* Indicates required question
Date
*
Date of absence / Fecha de la ausencia
MM
/
DD
/
YYYY
Last Name
*
Student's Last Name / Apellido del Estudiante
Your answer
First Name
*
Student's First Name / Nombre del Estudiante
Your answer
Reporter of Absence
*
Name of person reporting absence / Nombre de la persona reportando la ausencia
Your answer
Phone
*
Phone number of person reporting / Numero de telephono de la personal reportando. Please use the format 123-456-7890 / Por favor utilice el formato 123-456-7890
Your answer
Relation
*
Relation to Student / Relación al Estudiante. Must be a guardian or listed in emergency contacts / Debe ser guardián o enumerada en contactos de emergencia
Mother or Father / Madre o Padre
Legal Guardian / Guardián Legal
Grandparent / Abuelo(a)
Aunt or Uncle / Tía o Tío
Other:
Reason
*
Reason for the absence / La razón por la ausencia
Illness or injury (see next question) / Enfermedad o herida (ver la siguiente pregunta)
Medical appointment / Cita medical
Family emergency / Emergencia familiar
Vacation or personal reasons / Vacaciones o razones personales
Religious observance or ethnic holiday / Observancia religiosa o festividad étnica
Bereavement / Pérdida
Other:
Illness / Enfermedad
If illness or injury is the reason for absence, please share the type of illness, symptoms, or injury here: / Si una enfermedad es el motivo de la ausencia, comparta el tipo de enfermedad, síntomas, o herida aquí:
Your answer
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