LNHS Student Absence Form

Student Absence Form

Parent/Guardian: complete the following form and report absence within two (2) days of student’s return to campus.
ONLINE ABSENCE FORM IS FOR ALL DAY ABSENCES ONLY.

Do not submit this form for Tardy or Early Dismissal absences.
Student ID Number*
Student First Name*
Student Last Name*
Grade*
Is this your Student? If NO, please re-enter the correct student number.*

YES
Was the student absent for multiple days?*
If NO; only First Date Absent is required.
First Date Absent*

MonthDayYear
Last Date Absent

MonthDayYear
Reason for Absence:*
Please provide a detailed description of your students absence. *
To excuse an absence coded 1B,1E,1G,1I, supporting documentation is required. You may also upload supporting documents necessary for any type of absence.

Examples: Doctor note, DMV, College tour confirmation or other proof of absence.
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Your Name*

First NameLast Name
Relationship to Student*
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
By signing below I certify that I am authorized to submit this information for the above named student and that all information is correct and true to the best of my knowledge.*

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