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Request for Extended Absence

Long-term absences (3 or more days) must be approved by Hulstrom administration.

Hulstrom policy states that make-up work will be obtained AFTER the student returns from the absence.  Many classroom experiences such as videos, special presentations, lab experiments, etc. cannot be repeated and teachers are under no obligation to duplicate those experiences for the absent student.

Please note there are 2 separate forms - one for students in Grades K-5 and one for students in Grades 6-8.

MIDDLE SCHOOL STUDENTS (Grades 6-8) must gather comments and signatures from each of their teachers prior to submitting this form.  TEACHERS will complete the teacher box with any comments they may have such as student's current missing work and/or student obligations from their class, if known.

Forms must be fully completed (including the teachers box for middle school students) and submitted to Hulstrom's Main Office prior to the first date of the absence.  Incomplete forms will not be accepted.

Click on the images below to view full PDF.

Request for Extended Absence - Grades K-5

First page of the PDF file: RequestforExtendedAbsence-GradesK-5

Request for Extended Absence - Grades 6-8

First page of the PDF file: RequestforExtendedAbsence-Grades6-8