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Jefferson Attendance Form 2019-20
Please fill out this form to indicate an absence for each individual JES student.
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* Indicates required question
Student Absence Information
Each item below is required to document and record an absence.
Date of Absence
*
MM
/
DD
/
YYYY
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Grade Level
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Homeroom Teacher
*
Choose
Austin (5)
Bilodeau (1)
Cernicky (K AM)
Davis (2)
DiGregory (4)
Forrest (5)
Holloway (4)
Hutsler (5)
Stewart (K AM/PM)
Wick (1)
Williams (2)
Wolling (3)
Yablonski (2)
ZDP (3)
Zimmerman (4)
Unsure
Reason for Absence
*
Your answer
Parent/Guardian Information
Please fill out the following questions as they pertain to the individual submitting this form.
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Email Address
*
Your answer
Confirmation
Thank you for completing this form to document an absence.
Electronic Signature
*
By submitting this form, you are confirming that you are the parent or legal guardian of the student
Required
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