Absence Request Form
Please fill out all the fields. If you have a doctors please upload it.
Name of Parent completing the form:
*
Email
*
Student Name:
*
Grade Level:
*
Primary 1- Ms.Nazish
Primary 2 - Ms.Madiha
Lower Elementary
Upper Elementary
EASE
Date of Absence(start):
*
-
Month
-
Day
Year
Date
Time student will be out:
Please Select
Full Day (8:10/8:30am to dismissal)
Half Day (8:10/8:30am to 12:00pm)
Half Day (12pm to dismissal)
A specific time span
If you chose a specific time span, please clarify the time your child will be absent.
Type of Absence:
*
Health-care appointments with doctor’s note
Illness with doctor’s note
Contagious symptoms with parent note (ie fever, vomiting, diarrhea) - student must be symptom free for 24hrs before returning to campus
Religious observance (Hajj only)
Court appearances
Activities related to obtaining U.S. citizenship;
Funeral (up to three days)
Parent note for serious and unforeseen circumstances (maximum 3 per semester).
Vacation (unexcused absence -- see EASE handbook for effect on academics)
Personal (unexcused absence -- see EASE handbook for effect on academics)
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