Report an Upcoming Absence

Report an Upcoming Absence

Please use this form to report any absence that will last longer than 3 days. Complete one form per student. Attendance hours that are missed are expected to be made up at a different time.
Student Name*

First InitialLast Name
Student ID*
Legal Guardian Name*

First InitialLast Name
School*

AZVAInsight
Grade Level*
Select Reason for Absence*
Please provide details about absence reason
1st Date of Absence*

MonthDayYear
Date
Date Returning to School*

MonthDayYear
Date
Please enter zeros for all courses and days your student will be absent in the attendance area of your learning coach account to prevent "missing days" notices.
Name of Person Making Request
Email of Person Making Request
Should be Empty: