MIS Student Absence Reporting 2022-23
All student absences must be reported using this required form prior to 8:00am each school day.  
A separate form must be completed and submitted for each student.

Signs and symptoms of COVID-19 in children may be similar to those of common viral respiratory infections or other childhood illnesses. The overlap between COVID-19 symptoms and other common illnesses means that many people with symptoms of COVID-19 may actually be ill with something else. This is even more likely in young children, who typically have multiple viral illnesses each year. Individuals with COVID-19 have had a wide range of symptoms reported – ranging from mild to severe illness. There is not a single symptom that is uniquely predictive of a COVID-19 diagnosis. A COVID-19 viral test is needed to confirm if someone has a current infection.

Symptoms may appear 2-14 days after exposure to the virus and include the following:

• Fever or chills
• Cough
• Shortness of breath or difficulty breathing
• Fatigue
• Muscle or body aches
• Headache
• New loss of taste or smell
• Sore throat
• Congestion or runny nose
• Nausea or vomiting
• Diarrhea

Parents should not send children to school when sick.  
23
Sign in to Google to save your progress. Learn more
Email *
Student First Name *
Student Last Name *
Homeroom Teacher *
Date of Absence *
MM
/
DD
/
YYYY
Expected Return Date
MM
/
DD
/
YYYY
Reason for Absence *
Medical (Please check symptoms below)
Please feel free to share any additional information in the space below.
Non-Medical (Check reason for absence)
Clear selection
Please feel free to share any additional information in the space below.
Parent Verification *
Parent Verification - By checking the box below, I confirm that I am the parent/guardian of this student
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bordentown Regional School District. Report Abuse
Google Forms