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John F. McCloskey School
School District of Philadelphia
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John F. McCloskey School
Student Absence Form
Student Absence Form
Please fill out the following information about your student’s absence. You do NOT need to send in a written note if you fill this form, however, Doctor’s notes must be handed into the school. Thank you!
Absence Notification Form
Student's Name
*
Required
First
Last
Homeroom
*
Required
Choose a Homeroom
113 - Ms. Lopez
114 - Ms. Pemberton
111 - Mr. McGinley
106 - Ms. Jiwanmall
107 - Ms. Clark
101
102 - Ms. Nachman
208 - Ms. Newman
209 - Ms. McLaughlin
203 - Ms. Burrell
202 - Ms. Gavaghan
204 - Mr. Godwin
205 - Ms. Bauer
206 - Mr. Brown
210 - Mr. Ward
211 - Mr. Alford
Date
*
Required
MM slash DD slash YYYY
Parent's name
*
Required
First
Last
Parent's Email
*
Required
Reason for Absence
*
Required
Illness
Family Emergency
Death in Family
Out of town
Approved Religious Holiday
Required Court Appearance
Comments
Please use this form to provide any information that you think may be relevant to the student's absence.
Documents
If you have a dotor's note or other relevant documents, you may upload them below,
Drop files here or
Select files
Accepted file types: jpg, png, pdf, tiff, Max. file size: 10 MB.
Consent
*
Required
I certify that I am the legal guardian of the student mentioned above.
Phone
*
Required
Untitled
Email
This field is for validation purposes and should be left unchanged.
Last modified: February 4, 2020