Anticipated Absence Exception RequestFacebookThis field is for validation purposes and should be left unchanged.Student Name(Required) First Last Grade level(Required)Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Parent/Guardian Name First Last Date(s) of Planned Absence:(Required)Total School Days:(Required)Reason/Event:(Required)Special Circumstance RequestPlease explain the special circumstance and why these anticipated absences should not count toward the attendance limit in the affected class(es).Classes Affected(Required)List each class in which this absence would result in more than three absences during the quarter. Use the plus sign on the right to add multiple courses.Course / ClassTeacherCurrent Absences Add RemoveStudent Academic Plan(Required)Briefly describe how missed learning, assignments, assessments, labs, rehearsals, or other course responsibilities will be addressed.Supporting DocumentationUpload any supporting documentation, if applicable Drop files here or Select filesMax. file size: 50 MB.Student and Parent/Guardian Acknowledgment(Required)By signing this form, we understand that approval applies only to the specific dates and classes identified by the school and does not remove the student's responsibility to complete missed work or meet course expectations. ConfirmStudent Signature:(Required)Parent/Guardian Signature:(Required)Parent/Guardian Email(Required)
