Andover Middle School

Please provide the following information to assist the AMS Office in regard to your
pre-planned absence of at least 2 days.
FORM MUST BE SUBMITTED TO THE OFFICE AT LEAST 1 WEEK IN ADVANCE OF ABSENCE.

Please Fill Out The Pre-Planned Absence Form Below

Student Name

Grade Level

Reaquired field: 6th

Reaquired field: 7th

Reaquired field: 8th

Parent/Guardian Name

Phone

Dates of Planned Absence

Reason for Absence:

How many days has the student been absent due to other trips during this semester?

I understand that it is my child's responsibility to pick up this approved form from the office for make-up work about 1 week prior to the beginning of absence. I further acknowledge that these absences are not excused and will count toward truancy for this semester. Certain activities and lessons may be impossible to make up such as field trips, labs, guest speakers, class discussions, etc. All work assigned during a pre-planned absence will be counted as a zero until work is handed in. All work is due upon the student's return to school. *Please refer to page 5 of the Student Handbook.

Reaquired field: Yes

Parent/Guardian Signature

Parent's Email

Date

FOR OFFICE USE ONLY

Email a copy to

optional

Required Fields