Student Extended Absence Reporting Form
To accurately report and excuse longer student absences with the Ministry, please complete the form below.
Absence Start date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Date of Return (If known, leave blank if unknown and give explanation in the box below):
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student's Name:
*
Grade/Class:
*
Please Select
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Reason for absence:
*
Illness or injury
Appointment
Family Emergency
Cultural activity
Vacation
Other - please explain in the provided section below
Please give a short explanation for reason for absence:
*
I confirm that I have contacted my child's teacher to discuss take home school work.
*
Confirmed - parent/guardian
I confirm that I am the parent/guardian of the above named student:
*
Confirmed - parent/guardian
Signature
Submit
Should be Empty: