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Student Absence/Tardy Report
Reporte de Ausencia
Please let our office staff know why your student is absent/tardy.
Or give us a call at (916)567-5886
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* Indicates required question
Email
*
Your email
Student LAST Name
Apellido del Estudiante
*
Your answer
Student FIRST Name
Primer Nombre
*
Your answer
Grade Level
Grado
*
Choose
TK
Kinder
1st
2nd
3rd
4th
5th
6th
7th
8th
*MIDDLE SCHOOL ONLY
*ESCUELA INTERMEDIARIA NADAMAS
Student absent for one or more periods
Especifique que periodo o periodos estuvo ausente
Specify Period(s) and Teacher
Especifique el periodo y nombre del Maestro
*
Your answer
*MIDDLE SCHOOL ONLY
Student
tardy
only for certain period(s)
Specify Period
and
Teacher
ESCUELA INTERMEDIARIA NADAMAS
Especifique que periodo o periodos lleguo tarde
Your answer
Date of Absence
Fecha de la Ausencia
*
MM
/
DD
/
YYYY
Reason for absence
Razon de la ausencia
*
Your answer
Person Reporting Absence
Nombre de persona reportando esta ausencia
*
Your answer
Relationship to Student
Su relacion con el estudiante
*
Your answer
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