Cosmetology Student Call Out Form
Report your absence and provide required details. This form is for Centralia Beauty College students and admin tracking.
Student Information
Students Full Name
*
First Name
Last Name
Program
*
Please Select
Adult Learner
New Market
Absence Details
Date of Absence
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason Category
*
Please Select
Illness
Family Emergency
Transportation
Childcare
Work Conflict
Other
Reason for Absence
*
Date of Planned Return
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is this a single day or multiple days?
*
Please Select
Single day
Multiple days
End Date (if multiple days)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Acknowledgement
I understand that this absence may affect my attendance hours and progress toward completion, and it is my responsibility to make up missed work as required by school policy.
*
I agree
Student Signature
*
Date Signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: