Notification of Extended Absence

*Extended absences must be approved by the principal prior to the date of the absence.*

Newport City Schools

301 College St.

Newport, TN 37821

 

 

NOTIFICATION OF EXTENDED ABSENCE

(Ex. vacations, military leave, etc.)

 

_____________________________________ will be absent ______________________

 

through _________________________________.

 

Reason for being absent: ___________________________________________________

 

 

 

 

All absences approved under this application will be counted as parental notes up to a limit of five (5). Students will be responsible for submitting all work missed on the first day of return from the approved absence.

 

I have read and fully understand the above statements and do hereby agree.

 

                                                                                    ______________________________

                                                                                           (Parent/Guardian Signature)     

                                                                                    ______________________________

                                                                                                            (Date)

 

Teachers signatures                                      Date

 

            ______________________________                        ____________

 

            ______________________________                        ____________

 

            ______________________________                        ____________

 

            ______________________________                        ____________

 

            ______________________________                        ____________

 

            ______________________________                        ____________

 

            ______________________________                        ____________

 

 

_____ Approved                     _____ Not Approved

 

                                                ____________________________________

                                                (Principal Signature)