Student Absence Request Form

Absence Request Form
Date in which absence begins*

MonthDayYear
Date
Date in which absence ends*

MonthDayYear
Date
When is the student expected to return for a full-day attendance?*

MonthDayYear
Date
Please describe the reason for requested students' extended absence.*

Write at least 3-4 sentences explaining why this absence is necessary for student.0/70
Please include any necessary notes on student departure and arrival times.

Please wait 1-2 weeks for each request to be processed through our program departments. We will either email or call you once a decision has been made on your request. (Please note that absences in each semester are cumulative. If a student is absent for more than the allocated dates for each semester, they will be subject to repeating the grade level or class.)

During this leave, the student is responsible to make up all their missed work after they return. It is the student's responsibility to contact their teachers to obtain their assignments for all the dates requested above.
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Should be Empty: