MS/US Planned Absence

Middle and Upper School

This form is to be completed by a parent/guardian.

*Asterisk indicates required field.

*Student Name

Enter student first and last name.

*Grade

*Date(s) of Absence

Enter date(s) of planned absence.

*Reason for Absence

Other Reason

If needed, provide other reason for absence.

College to be Visited

If applicable, share the college to be visited.

*Parent/Guardian Signature

Type your name.

Comment

Please provide additional details if needed.