Take Your Child to Work Day Absence Form.docx

200 Hillvue Lane

Pittsburgh, PA 15237

THURSDAY, APRIL 25, 2024

Student Application for “Take Your Child to Work Day”

Take Your Child to Work Day is a national day

that provides children a glimpse into the working world.

Part I: To be completed by parent or guardian.

Student Name: Student Number Telephone

Address Zip Code

School Grade Homeroom Teacher

Proposed work location (Company Name)

Address Phone

Parents Occupation

I hereby request that the above student be excused from compulsory attendance during this period

of absence. (This will, however, be considered an EXCUSED ABSENCE). I assume responsibility

for supervising the completion of all assignments/responsibilities which are to be submitted upon

his/her return to school or within a reasonable time as designated by his/her teachers(s).

Parent’s Signature Date

Part II: To be completed by the building principal Please check one: Approved Disapproved

Reason for disapproval

Principal’s Signature Date

A student who participates in “Take Your Child to Work Day” without completing this form

including the parent’s signature will be in violation of the Compulsory Attendance Requirement

of the Public-School Code – and the absence will be marked as an unexcused absence.

Preparing All Students for Success in a Changing World