Summit Road STEM Elementary
NOTIFICATION OF EXTENDED ABSENCE 

Date: _________________________________

Student Name: _________________________________________________________

Teacher: _______________________________________   Grade: _______________

Reason for Absence: ___________________________________________________

Last day of attendance: ________________________________________________

Expected return date: __________________________________________________

Please read before signing at bottom:

•	I agree that my child will complete all assigned work and turn the work into his/her teacher in a timely manner.

•	My child will complete all missed tests within one week after his/her return to school.

•	I understand that my child’s grades will be calculated through the completion of assigned work and tests.

•	I understand the Reynoldsburg City Schools Board Policy regarding school absences as printed in the Student Handbook.

•	I further understand that, in the event of a non-emergency trip/vacation, the days that my child is absent from school will be documented as unexcused absences.

Parent/Guardian Name: _____________________________________________
							(Please Print)

Parent/Guardian Signature: _________________________________________

**Please return completed form to the student’s teacher.