Request for STIS
WVHS Only - Must be completed 1 week prior to departure
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Student Name
Student ID #
Grade
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DOB
MM
/
DD
/
YYYY
Education Programs
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Parent Phone
Student Phone
Reason for STIS
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STIS TIME REQUIREMENTS
  • Minimum of 5 days per absence
  • Maximum of 15 days per school year
  • Subject to approval based on prior attendance, work history, etc.
Start Date (First day off campus)
MM
/
DD
/
YYYY
End Date (Last day off campus)
MM
/
DD
/
YYYY
Total Days STIS
繼續
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請勿利用 Google 表單送出密碼。
這份表單是在 Anderson Union High School District 中建立。 檢舉濫用情形
Google 表單