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Counseling Services
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CPSD6 Report an Absence
This form requires Javascript to be enabled for submission and authorization.
*
Required
Today's Date
*
required
Must contain a date in M/D/YYYY format
Email Address
*
required
Name of Person completing this form.
*
required
Student's Name
*
required
First Name
Last Name
Student ID# (ask your student or obtain from ParentVUE)
The student I am reporting this absence for attends:
*
required
Central Point Elementary School (CPE)
Crater High School (CHS)
Hanby Middle School (HMS)
Jewett Elementary School (JES)
Mae Richardson Elementary School (MRE)
Patrick Elementary School (PES)
Rogue Primary School (RPS)
Sams Valley Elementary (SVE)
Scenic Middle School (SMS)
Is this absence full-day or partial day
*
required
Full Day
Partial Day
Full Date(s) of Absence
*
required
Complete this for for each day of FULL DAY Absence or UPCOMING FULL DAY Absences. (Must contain a date in M/D/YYYY format)
Reason for Absence
*
required
Appointment
College Visit
Family Emergency
Funeral
Illness
Injury
Mental Health Day
Religious Holiday
Vacation
Other (please specify in the comment section below)
Comment Section - Or if illness related, please provide symptoms.
Partial Day(s) of Absence
*
required
Complete this for for each day of PARTIAL DAY Absence or UPCOMING PARTIAL DAY Absences. (Must contain a date in M/D/YYYY format)
Choose One:
*
required
Partial Day - Arrive Late
Partial Day - Leave Early, Not Returning to School
Partial Day - Check Out/Check Back In
Time In (when arriving late to school)
AM / PM
Time Out
AM / PM
Return Time, if known
AM / PM
Periods missed, if known
Reason for Absence
*
required
Appointment
College Visit
Family Emergency
Funeral
Illness
Injury
Mental Health Day
Religious Holiday
Vacation
Other (please specify in the comment section below)
Comment Section - Or if illness related, please provide symptoms.
Submit