The Bronx High School of Science Valerie Reidy, Principal

EXCUSED ABSENCE FROM CLASS FORM

TO THE SUBJECT TEACHER: _____________________________________ ______________________ _______ ________________ LAST NAME (print) FIRST NAME OFF. CL. is scheduled to participate in the following program: on Tuesday, May 28, 2013,

9 DIGIT OSIS #

EverNote founder Phil Robins Presentation 8 and/or 9 .

during periods

Please excuse the student from your subject class. If the students scholarship is such that absence from your class would be inadvisable, please consult with me. S/he realizes the responsibility to make up any work missed due to the absence. This form will be kept on file in the Math Office should a question arise concerning his/her absence from class.

PERIOD 8 9

SUBJECT

SUBJECT TEACHER

TEACHERS SIGNATURE

TO THE STUDENT: 1. Have each of your teachers sign the Excused Absence Form. 2. Return the form to your Math teacher on Friday, May 24, 2013. 3. The presentation will begin at 8th period 1:29 pm sharp in room 131. Following the presentation, a reception will be held 9th period in the library.

____________________________________ PARENTS SIGNATURE ____________________________________ Rosemarie Jahoda Assistant Principal