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21-22 Illness Absence Questionnaire/Cuestionario de Ausencia
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* Indicates required question
Email
*
Your email
Student Last Name/Apellido del Estudiante
*
Your answer
Student First Name/Nombre del Estudiante
*
Your answer
Grade/Grado
*
Choose
Pre-School
TK
Kinder
1
2
3
4
5
Teacher /Maestro/a
*
Choose
ASHBY, Carrie
BIERAUGEL, Dawn A.
BUCAROFF, Heather
CECENA, Angela
CLAY, David
CRUZ, Alissa
DAVIS, Laura
DELLAMARY, Elizabeth
FAULKNER, Sherri
FELIX, Amy
GAWLER, Sandi
GRIFFIN, Kristin
HANYAK, Ginger
HAUBNER, Hayley
HINOJOSA, Karina
HUFFMAN, Kathryn
JACKSON, Emily
JOYCE, Kate
MCCORMICK, Rebecca/FARQUHAR, Stephanie
MCGINNIS, C.J.
MENCHACA, Susana
MENDIOLA, Krista
MONTIJO, Danielle
PEASE, Jessica
RIVERA-FLODINE, Lourdes
SOCHOWSKI, Lynn
SPERLING, Laurie
STEVENS, Kathryn
STROMMEN, Amanda
THOMPSON, Brenda
VERMILYEA, Amy
WEIRSMA, Kristen
ZEAIT, Jessica
ZIMMER, Jalayne
Absence Reason (please select one)/Razón de la Falta
*
Choose
APPOINTMENT/CITA - Doctor, Dental, or other
VACATION/VACACIONES
FAMILY EVENTEVENTO FAMILIAR- Please explain below/explique debajo
SICK/NOT FEELING WELL/ENFERMO, NO SE SIENTE BIEN
If you selected FAMILY EVENT, please briefly explain/Explique brevemente si seleccionó EVENTO FAMILIAR
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