Navigator Student Absence Questionnaire

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Today your student was recorded as absent by their teacher. Please let us know the reason for the absence and when they will be back in class. If you can bring your student for a partial day we would greatly appreciate it.

FYI- If you are submitting this questionnaire between 9:25am-10:00am you will still receive a Robo Call at 10am as the info is pulled at 9:25 and there is a 35 minute lag time.- Please disregard

Student's Name(s) *

Date of the absence *

YYYY

Reason for the absence *

My student was sick (please list symptoms below in other) will be marked ill parent verified

We are out of town (will be marked unexcused)

Family is under Quarantine (list dates of quarantine below in other)

My student had a medical appointment (Please bring a note from the appointment to be marked medically verified)

My student had a non medical appointment (will be marked unexcused)

My student had to come with me to my appointment (will be marked unexcused)

My student will be/was late today

Other:

Required

My student will be back in school on... *

YYYY

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