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MSE Cordova Student Absence Form
If your student will be absent from class, please complete the form below and provide documentation to the email addresses at the bottom of this form.
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* Indicates required question
Date of Absence (fecha de ausencia)
*
MM
/
DD
/
YYYY
Reason for Absence (razon de ausencia)
*
Your answer
Student first name? (Nombre de estudiante)
*
Your answer
Student last name? (Apellido de estudiante)
*
Your answer
Grade (Grado)
*
Choose
K
1
2
3
4
5
Parent First and Last name? (Nombre Y Apellido del Padre)
*
Your answer
Your relationship with the child?(Relación con el niño)
*
Mother
Father
Guardian
Other:
Date Returning to Classes (fecha de regreso a clases)
*
MM
/
DD
/
YYYY
REQUIRED : After submitting this form, I will email official documentation (doctor's notes, obituaries etc.) directly to the secretaries Mrs. Bell (sbell
sbell@sememphis.org
) or Mrs. Mireles (
emireles@sememphis.org
). (Despues de someter este formulario, enviare un correo electronico a una de las secretarias) *
*
Acknowledge
Required
Submit
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