School Absence Form
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1St. Joseph School
5411 South Main Street Sylvania, Ohio 43560
COMPLETE AND RETURN TO SCHOOL NURSE
PART A
STUDENT NAME_________________________________________ CLASS__________________________
ADDRESS________________________________________________ PHONE__________________________
DATE OF FIRST
DATE RETURNING
TOTAL DAYS ABSENT
ABSENCE_________________ TO CLASS________________
FROM SCHOOL_______________
STATE CLEARLY AND CONCISELY THE NATURE OF THE ABSENCE:
___________________________________________________________________________________________
___________________________________________________________________________________________
PART B
_____
Excused Absence – Absence due to illness, hospitalization, or funerals.
_____Unexcused Absence – Absence due to student and/or parent personal convenience.
Personal convenience absence is not provided under the school attendance laws of the State of
Ohio.
The proposed absence will be considered “Unexcused”.
GUIDELINES:
1.
A planned absence due to illness, injury, hospitalization, or funeral falls in the same category as
unplanned absence due to illness. Upon returning to school, students need to contact their
teacher(s) regarding work to be made up or tests to be taken.
2.
A planned absence due to personal convenience includes family vacations or other such situations.
Regular attendance is essential to successful school work. The following will apply in personal
convenience absences:
The student will be permitted to make-up tests missed. Arrangements to make up tests must be
made by the student by the second day he/she returns to school.
Teachers are not required to grade, examine or correct any work done by the students who are
anticipating days of absence.
Teachers are not required to prepare assignments for students who are anticipating days of absence.
The school will assume no responsibility for a drop in grades.
All absence forms must be completed and on file before the date(s) of the planned absence.
th
Please Note: Absence forms for high school visitation by 8
graders must be completed and
on file three days before the planned absence.
PART C
________________________________________
_______________________________________
STUDENT SIGNATURE
PARENT/GUARDIAN SIGNATURE
DATE______________________
DATE__________________
NOTED BY SCHOOL NURSE_____________________
DATE__________________
TEACHER(S) INITIALS__________ _________ _________
SPECIALIST’S INITIALS _________ _________ _________ _________
(Music)
(Art)
(PE)
(Spanish)
PRINCIPAL’S SIGNATURE ______________________________________
It is understood that the principal’s signature and teachers’ initials do not indicate approval of the statement of absence
but only they are aware of such.
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