Today’s Date: ____________
GREENVILLE AREA SCHOOL DISTRICT
REPORT OF ABSENCE FORM
Student’s Name: ________________________________________
Student’s Grade: ______ Absence Date(s): ________________
(Please check appropriate box)
Tardy Absent Early Dismissal
(Please check reason for absence) Time: ____________
q Illness
q Death in immediate family
q Impassable roads
q Religious service or event
q Medical appointment or testing
q Absence pre-approved by principal
q College visitation-not to exceed 3 per year
w Applies to Juniors & Seniors Only
w Additional form required-available in office
q Absence due to pre-approved educational travel
w Additional form required-available in office
q Other
w Please explain on reverse side
Signature: ___________________________________________
Relationship to student: __________________________________
Daytime Phone #: ______________ Cell Phone # _____________
Please write additional information on reverse side
For any questions regarding a student’s attendance or the GASD attendance policies, please call the Attendance Office at (724) 588-2500
Today’s Date: ____________
GREENVILLE AREA SCHOOL DISTRICT
REPORT OF ABSENCE FORM
Student’s Name: ________________________________________
Student’s Grade: ______ Absence Date(s): ________________
(Please check appropriate box)
Tardy Absent Early Dismissal
(Please check reason for absence) Time: ____________
q Illness
q Death in immediate family
q Impassable roads
q Religious service or event
q Medical appointment or testing
q Absence pre-approved by principal
q College visitation-not to exceed 3 per year
w Applies to Juniors & Seniors Only
w Additional form required-available in office
q Absence due to pre-approved educational travel
w Additional form required-available in office
q Other
w Please explain on reverse side
Signature: ___________________________________________
Relationship to student: __________________________________
Daytime Phone #: ______________ Cell Phone # _____________
Please write additional information on reverse side
For any questions regarding a student’s attendance or the GASD attendance policies, please call the Attendance Office at (724) 588-2500
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