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Academy High School -
- Absence Excuse Request Form
Parents and Guardians can use this form to request a student absence be excused. Students who are 18 and older may fill out and sign this form on their own behalf.
Enter the email of the parent or guardian requesting the excuse below:
Email:
Anahi Mendieta at
[email protected]
with any questions!
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* Indicates required question
Email
*
Your email
I understand that only the parent or legal guardian of a student can submit a request to excuse an absence (students 18 or older can submit their own excused absence requests). I am:
*
The parent or legal guardian of the student in question
18 or older and submitting a request for myself
Student's Last Name:
*
Your answer
Student's First Name:
*
Your answer
Student's District ID#:
(This ID# can be found on the Student's ID card or on ParentVue)
*
Your answer
First day of absence:
*
MM
/
DD
/
YYYY
Last day of absence:
*
MM
/
DD
/
YYYY
Period(s) absent:
(Either check "Full Day" or check which periods the student missed for a partial day absence)
*
1st
2nd
3rd
4th
5th
6th
7th
Full Day
Reason for absence:
(The following are the only excuses acceptable according to the state department of education.)
*
Illness
Appointment
Religious Observance
In-State Funeral / Memorial Service (1 day max)
Out-of-State Funeral / Memorial Service (3 day max)
Legal / Governmental Appointment
Pre-Approved by Administrator (College Visit, Family Emergency, Conference, etc. - give reason below)
If you checked "Pre-Approved by Administrator", please briefly list the reason for absence below:
Your answer
Parent/Guardian Phone:*
(Please provide the best phone number to use should verification or clarification be needed)
*
Your answer
Parent/Guardian First and Last Name:*
"By printing my first and last name in this field, I am submitting my electronic signature."
*
Your answer
A copy of your responses will be emailed to the address you provided.
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