Student Absence Notification

Student Absence Notification

This form should be completed by a student or their parent/carer in the event of absence from College. Once submitted this form will send a notification to the relevant teaching department.
Are you completing this form as a Student or a Parent/Carer? *

Student Parent/Carer
Student Name *

First Name Last Name
Student ID Number (if known)
Which month were you born in? (Student) *
Please select your campus *

Amersham Aylesbury Wycombe
Please select the Aylesbury department you belong to *
Note: Please only select English & Maths, if this is the ONLY subject studied at College.
Please select the Amersham department you belong to *
Note: Please only select English & Maths, if this is the ONLY subject studied at College.
Please select the Wycombe department you belong to *
Note: Please only select English & Maths, if this is the ONLY subject studied at College.
Which course do you study with us? *
When will you be absent (today's date is selected by default) *

Day Month Year
I will be absent for... *

Whole Day Morning Afternoon Just a few minutes (running late)
Why are you absent? *

Feeling unwell (General illness) Feeling unwell (Possible COVID 19) Worried or Anxious Travel Problems Money Problems Problems with others at College Doctors Appointment Driving Test (not Lesson) Self Isolation due to others in household (COVID 19) Bereavement (Family member/Friend has passed away) Rather not say
Do you have any of the following symptoms? *

Frequent Cough High Temperature Loss of taste or smell No, I don't have any of the above
When did your symptoms first appear? *

Day Month Year
When were you last at College? *

Day Month Year
Which areas did you visit? (Tick all you can remember) *

Classrooms / Workshops Refectory Learning Centre Sports Hall / Gym Toilets
As you have selected one or more symptoms that could be related to COVID-19 we ask you to stay at home.

Our team will contact you after you submit this form with further instructions.
If you would like to explain the absence further, please detail here.
Please submit this form by clicking the button below.
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