Attendance Acknowledgement Form (Must be completed by counselor or administrator)

Student’s Name: Applicant’s Current Attendance Record. If available, please attach documentation. Excused Absences Unexcused Absences Tardies Please provide an explanation of the applicant’s attendance record for the current school year if he/she has attendance below the required minimum of 96%.

Name of Counselor/Administrator: Title:

Counselor/Administrator’s Signature: Office Phone: Email:

Renaissance High School—— Appeal Packet 2015-2016

2015 Attendance Acknowledgement Form.pdf

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