Student Attendance Form

Student Attendance Form

Absence, Late Arrival or Leave Early Request Form

Student First Name*

Student Last Name*

Campus*

Select

Program*

Select

Phase*

Select

Notification Type*

Select

Email*

Phone*

Current Attendance Percentage*

ALERT: If you are below 90% it is advised that you first speak with campus admin prior to filling out this form.

Select Date of Event*

ALERT: If you are submitting this same day, it is advised that you first speak with campus admin prior to filling out this form.

Select Return Date*

Time of Arrival

Time of Departure

BY CHECKING THIS BOX YOU ACKNOWLEDGE YOU WILL NOTIFY THE FRONT DESK TO ENSURE THE APPOINTMENT BOOK IS BLOCKED APPROPRIATELY TO ENSURE CLIENTS ARE NOT INCONVENIENCED.

Consent: Check the box to agree*

Reason for Time Missed*

How do you plan to make up the time you will miss?*

BY CHECKING THIS BOX, I ACKNOWLEDGE THAT I UNDERSTAND THAT NOT ATTENDING MY CONTRACTED SCHEDULE MAY AFFECT MY ACADEMIC PROGRESS, COMPLETION DATE, AND ATTENDANCE PERCENTAGE. THERE ARE NO EXCUSED ABSENCES; ANY CONTRACTED TIME I AM NOT PRESENT WILL NEED TO BE MADE UP. MY ENROLLMENT AGREEMENT END DATE IS BASED ON A 90% ATTENDANCE RATE AND I RISK NOT COMPLETING MY PROGRAM ON TIME IF I AM ABSENT.

Acknowledgement: Check the box to agree*

Send me a copy of my responses

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