Language
English (US)
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Student Name
*
First Name
Last Name
Parent/Name
*
First Name
Last Name
Phone Number
*
Phone number must match the one in the AERIES Portal
Format: (000) 000-0000.
Parent Email
Must match parent email found in AERIES
Parent Email: Must match parent email found in AERIES
*
What type of attendance issue do you need to address?
Please Select
Absence
Late Arriving to School
Leaving Early from School
What type of absence?
Please Select
Single Day
Multiple Consecutive Days
Multiple Various Days
Date of Absence
-
Month
-
Day
Year
Date
Reason for Absence
Please Select
Illness
Medical appointment
Funeral
Court Date
Religious Event
College Visits
Personal Business: Any absence not listed above. Generally, these are considered unexcused
Reasons for Absence
College Visits
Court Date
Funeral
Illness
Medical Apt
Religious Event
Personal Business: Any absence not listed above. Generally, these are considered unexcused
1st Day of Absence
-
Month
-
Day
Year
Date
Last Day of Absence
-
Month
-
Day
Year
Date
Reason for Absence
Please Select
Illness
Medical appointment
Funeral
Court Date
Religious Event
College Visits
Personal Business: Any absence not listed above. Generally, these are considered unexcused
Please list dates of absences
Use Numbers For Month & Date: ie 2/14
Early Dismissal Date & Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Early Dismissal
Please Select
Illness
Medical appointment
Funeral
Court Date
Religious Event
College Visits
Personal Business: Any absence not listed above. Generally, these are considered unexcused
Reason for Tardy
Please Select
Illness
Medical appointment
Funeral
Court Date
Religious Event
College Visits
Personal Business: Any absence not listed above. Generally, these are considered unexcused
Date & Time of Tardy to School
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Submit
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