Excused Absence Form
1.
Student's Full Name
*
2.
Student's Homeroom Teacher
*
3.
Date(s) of Student Absence(s)
*
4.
Reason for Absence
*
NC State Law requires a reason to be submitted for all absences.
--Please Select--
Illness/injury
Death in the immediate family
Court or administrative proceeding
Religious Observance
Other (if choosing other, please explain in the question below)
5.
If you answered "Other" for Question 4, please explain your response here.
If you do not explain your "Other" response, your excused absence will NOT be approved.
6.
Parent/Guardian Name
*
7.
Parent/Guardian Daytime Contact Number
*
8.
Parent/Guardian Email Address
*