Coolidge Attendance Form
All absences must be reported no later than 24 hours after the absence in order to be excused.
Student Last Name *
Your answer
Student First Name *
Your answer
Grade *
Teacher Last Name
Your answer
Your name *
In this box, please type your first and last name.
Your answer
Acknowledgement *
Please check yes below to acknowledge the following statement: "By checking the signature box, I certify that I am the legal guardian of this child and all of the information provided to Livonia Pubic Schools School District is accurate"
Required
Reason for Absence *
Please select the reason for your child's absence from the list below.
Is the reason for absence due to a communicable disease? *
If not, select "No." Otherwise, please select the disease your child has been diagnosed with. This question is required to comply with county standards.
Date of Absence *
If absence is multiple dates, please select the first absence date.
MM
/
DD
/
YYYY
If this is a multiple day absence, please enter the last date the student will be absent.
If absence is multiple dates, please select the last absence date. If a one day absence, please leave blank
MM
/
DD
/
YYYY
Is this a full day absence?
Submit
Never submit passwords through Google Forms.
This form was created inside of Livonia Public Schools. Report Abuse - Terms of Service - Additional Terms