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Staff Absence Form

Please complete the form below. Required fields marked with an asterisk *

Date:*

Answer required for "Date:"

Name of Staff Member*

Answer required for "Name of Staff Member"

Staff Phone Number:*

Answer required for "Staff Phone Number:"

Please check the reason you are not in school and then fill out the corresponding box below.*

Answer required for "Please check the reason you are not in school and then fill out the corresponding box below."

Illness

Travel

Doctor/Dentist Appointment

Other:

Length of Absence

Answer required for "Length of Absence"

1/2 Day

Full Day

Illness - if you are absent due to illness please describe your symptoms below, including your temperature.

Answer required for "Illness - if you are absent due to illness please describe your symptoms below, including your temperature."

Travel - if you will be absent due to travel please tell us where you are going and the dates you will not be in school

Answer required for "Travel - if you will be absent due to travel please tell us where you are going and the dates you will not be in school"

Other - Please tell us the reason you are absent today

Answer required for "Other - Please tell us the reason you are absent today"

Confirmation Email

Answer required for "Confirmation Email"