JED-AR - Request for an Excused Pre-arranged Absence
PARENT’S NAME (PRINT)
ADDRESS
TELEPHONE (H) (w)
CHILD(REN) NAMES GRADE SCHOOL
DATES OF THE ABSENCE(S) / / THRU / /
REASON FOR THE ABSENCE:
(WRITE ON BACK IF NECESSARY)
PARENT SIGNATURE DATE
(To be filled out by the building principal)
I am approving/recommending your request for approval.
Your request has been denied for the following reason(s):
(Signature of Principal) (Date)
(To be completed by the Superintendent if the request is for more than five days.)
I am approving/recommending your request for approval.
Your request has been denied for the following reason(s):
(Signature of Roseburg Public Schools Superintendent) (Date)
JED-AR: Request for Excused Pre-arranged Absence