Student Absence Reporting Student's Name* First Last Student's Grade*Select GradeK123456789101112Guardian's Name Completing Form* First Last Contact Phone # (If Follow-up Required)*Contact Email (If Follow-up Required)* Date(s) of Absence* Reason for Absence* Appointment College Visit Injury Late Arrival Quarantine Sickness Vacation Symptoms (check all that apply) Congestion or Running Nose Cough Diarrhea Fatigue Fever or chills Headache Muscle or body aches Nausea or vomiting Shortness of Breath or difficulty breathing Sore throat Stomach Cramps Time(s) Off Campus*
