To the Principal / Academic Dean's Office, St. Jude Academy
Boston, MA
| STUDENT NAME | Ethan Campbell |
|---|---|
| STUDENT ID / CLASS | ID: STU-99214 | Class: Grade 11 / Section B |
| APPLICANT | Robert Campbell (Phone: +1 (617) 555-0143) |
| ABSENCE DATES | ________ – ________ (Total 3 days) |
| REASON CATEGORY | acute illness and medical doctor prescribed rest |
STATEMENT OF EXCUSE & JUSTIFICATION
Please be advised that student Ethan Campbell, whose details are set forth above, was unable to attend mandatory classes from ________ to ________ (total 3 school days) due to acute illness and medical doctor prescribed rest.
The student experienced an acute medical illness evaluated by a physician. In accordance with the enclosed medical note, home recuperation was strictly advised for the stated period.
In accordance with school academic policy, I respectfully request that this absence be formally designated as excused and that the student be granted eligibility to take make-up examinations for all missed coursework and evaluations.
| ATTACHMENTS | 1. Physician Medical Assessment Note & Prescription |
|---|
APPLICANT SIGNATURE Robert Campbell |