Iredell-Statesville Schools Together, Ensuring Student Success by Igniting a Passion for Learning

Student Absence Form

Student's First Name*

Student's Last Name*

Student's Teacher

Was the student absent for multiple days?*

Yes No

Date Absent* (mm/dd/yyyy)

Last Day Absent* (mm/dd/yyyy)

Reason for Absence*

If the student has a doctor's note please attach below or provide to office staff.

Doctor's Note

Max file size: 10 MB

Your First Name*

Your Last Name*

Relationship to Student*

Your Email

Your Phone Number