Pre-Approved Absence

Please complete all the the information below. If Student Services has any questions, a staff member will contact the student's parent/guardian for clarification. Thank you.

Student Name
Student Number
Must be 6 digits. Currently Entered: 0 digits.
Parent/Guardian Name
Grade Level

Grade Level 9 10 11 12
Date of Absence Date of Absence / MM / DD YYYY
Date of Absence (fill this out only if you are reporting more than one day) Date of Absence (fill this out only if you are reporting more than one day) / MM / DD YYYY
Date of Absence (fill this out only if you are reporting more than one day) Date of Absence (fill this out only if you are reporting more than one day) / MM / DD YYYY
Date of Absence (fill this out only if you are reporting more than one day) Date of Absence (fill this out only if you are reporting more than one day) / MM / DD YYYY
Date of Absence (fill this out only if you are reporting more than one day) Date of Absence (fill this out only if you are reporting more than one day) / MM / DD YYYY
Parent/Guardian Contact Phone Number
Parent/Guardian Email (If you would like a confirmation emailed to you)
Reason for Absence(s):

Reason for Absence(s): Post-Secondary/Institution of Higher Learning Campus Visit Religious instruction, conference, institutes, etc. Other (Provide additional information below)
Pre-Approved Absences does not remove or absolve students from testing, that is beyond our control.

Pre-Approved Absences does not remove or absolve students from testing, that is beyond our control. I understand
Please upload a Doctor's Note or Parent Note to accompany the request.

Attach Files
Additional information