Jefferson Attendance Form 2019-20
Please fill out this form to indicate an absence for each individual JES student.
Student Absence Information
Each item below is required to document and record an absence.
Date of Absence *
MM
/
DD
/
YYYY
Student's First Name *
Student's Last Name *
Grade Level *
Homeroom Teacher *
Reason for Absence *
Parent/Guardian Information
Please fill out the following questions as they pertain to the individual submitting this form.
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email Address *
Confirmation
Thank you for completing this form to document an absence.
Electronic Signature *
Required
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