LHS IPPE Attendance Form
Student's First Name
Student's Last Name
Are you a P2 or P3?
What month are you reporting your attendance for?
Did you miss any assigned IPPE shifts this month?
Did you schedule a makeup for any missed shift?
What date(s) will you make up the missed shift(s)?
Please include a brief explanation below for any missed or rescheduled shifts
(If this does not apply to you, please write n/a)
I certify that the above information is correct
(Type full name i.e. First Last, in the box below)
Send me a copy of my responses
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