Attendance Limit Appeal Form

This field is for validation purposes and should be left unchanged.
Student Name(Required)
Attendance History(Required)
Please list and briefly explain all absences from this class during the current quarter. Use the plus sign on the right to add multiple dates.
Date of Absence
Reason for Absence
Excused/Unexcused
Class/Classes Missed
 
Please explain why you are requesting reconsideration of the attendance consequence. Include any circumstances you believe should be considered when reviewing the student's overall attendance in this class.
Upload any supporting documentation, if applicable
Drop files here or
Max. file size: 50 MB.
    Specifically explain how you have made up, or will make up, missed learning and remain current in this class. Include specific dates and times.

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