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Staff Absence Form

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

Date:*

Answer Required

Name of Staff Member*

Answer Required

Staff Phone Number:*

Answer Required

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

Answer Required

Illness

Travel

Doctor/Dentist Appointment

Other:

Length of Absence

Answer Required

1/2 Day

Full Day

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

Answer Required

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

Other - Please tell us the reason you are absent today

Answer Required

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required