JPS Absence Request Form
Complete this form to request a student absence from Joliet Public Schools.
Student Name
*
First Name
Last Name
Student's School
*
Elementary
Middle School
High School
Student's Grade
*
Please Select
Kinder 1
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Start Date of Absence
-
Month
-
Day
Year
Date
Returning to School on
-
Month
-
Day
Year
Date
Reason for Absence
*
Please Select
Medical Appointment
Personal Illness
Excused for Family Event
Bad Weather/Roads
Other
Please explain
Additional Comments (Optional)
Signature
*
Submit
Should be Empty: