Exhibit B1
Teacher Absence Form
I will be absent on _________________________________________________
(date)
I was absent on ___________________________________________________
(date)
I was absent on _________________ for periods _________________________
(date)
Please check one of the following:
1. Sick Day(s) ______ Sick Day(s) (Family Emergency) ___________________
2. Personal Day(s) ______
Urgent business ______ Emergency ______ Honeymoon _____
3. Funeral Day(s)
Immediate Family ___________________________________
(Article VI, Section 4)
Relation as defined in Article VI, Section 5 ______________________________
4. Other (specify) _________________________________________________
Date ___________________ Signature _______________________________
This Form is to be Returned Within Forty-Eight Hours of the Teacher's
Return to School (Article VI, Section 6)
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