Request for Pre-Arranged Absence
Please fill out this form for a request for a pre-arranged absence.  Please understand that pre-arranged absences MUST BE submitted a minimum of 5 business days to process and approve. Additionally, all days will count towards the 8-day attendance policy, and administrators may deny a pre-arranged absence request to students with poor attendance.

It is the student's responsibility to make up missed class work. The deadline for acceptance of make-up work is determined by the teacher. Students should discuss their absence with each teacher in advance.

Absences relating to classes that require participation may affect the student's grade. Extra-curricular activities that require participation or attendance outside the normal school day must be cleared through the director of that activity or class.

Absences that fall during state testing or final exams will be unexcused.  Students will still be allowed to take the exam.
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Parent or Guardian Name *
Grade *
By typing ok, I signify that I understand that while my student will be allowed to make up work missed while absent, these days will count towards the 8 day attendance policy.  I also understand that this request will take 5 business days to process and approve, and that if it is received less than 5 days prior, it will not be processed, we will only mark attendance.  Type ok to signify you understand. *
First date of Absence *
MM
/
DD
/
YYYY
Last date of Absence *
MM
/
DD
/
YYYY
Reason for Absence *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Plainfield Community Schools. Report Abuse