​Extended Ed Counselor Absence Form

* indicates a required field

Date(s) of Absence *

Enter date(s) of absence

Last Name *

Enter your last name

First Name *

Enter your first name

Email *

Enter your email address

Absent the whole day *


Additional Comments

Days/Hours Absent *

Ex: Monday 1-2:00 pm & 3-4:30 pm

Reason for Absence *

Choose a reason for your absence above (required)

EIN # (0123456) *

Enter your EIN# (available in MyShasta on your Pay Advices).

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