Pre-Arranged Absence Verification Form

Pre-Arranged Absence Form

St. Matthew Catholic School
Research studies have shown that school attendance and student achievement are directly related. Family vacations or other pre-arranged absences during school days are strongly discouraged. Students that must be gone shall request a pre-arranged absence form. This form must be completed prior to the requested absence.
Today's Date:

MonthDayYear
Date
Student's Name(s):*
Homeroom Teacher #1
Homeroom Teacher #2 (if applicable)
Homeroom Teacher #3 (if applicable)
Homeroom Teacher #4 (if applicable)
Homeroom Teacher #5 (if applicable)
Date(s) Requested for Absence:
Reason for Absence:
Parent Signature
Teachers are not required to give assignments prior to the absence. Any homework that is given to the student prior to the absence must be completed and returned on the day the student returns to school. Upon returning to school, the student must make-up any work including tests, quizzes, assignments, and projects.
Should be Empty:

Pre-Arranged Absence Form