REQUEST FOR EXCUSED ABSENCE FOR COLLEGE VISIT

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					                REQUEST FOR EXCUSED ABSENCE FOR COLLEGE VISIT

NAME OF STUDENT: __________________________________________TODAY’S DATE: ______________



DATES OF UPCOMING ABSENCE(S): __________________________________________________________



NUMBER OF COLLEGE VISITS TO DATE:                    _____________ OUT OF 4

NOTE: In order for your absence(s) to be excused, you must:

                  1.   Set up an appointment with the Admissions Office of the college you wish to visit.
                  2.   Submit this form to each of your teachers.
                  3.   Return the completed form to the school secretary before the absence.

Class                  # ABSENCES     # CLASSES TO          COMMENTS/REQUIREMENTS                           TEACHER’S
                         TO DATE        BE MISSED        IF ABSENCES ARE TO BE EXCUSED                      SIGNATURE




_____________________________________________________________________________________________________________



Date _______________________________



Signatures after form is completed:



__________________________________________________                 _______________________________________________

             Parent                                                                        Counselor