Summer Absence Schedule | Upward Bound

2024 Absence Form

It is the responsibility of a parent/guardian to notify UB staff of additional abscences that may arise. This form can be submitted multiple times.

Participant Name(Required)

First Last

Participant Email(Required)

Guardian Phone(Required)

Guardian Email

Anticipated Absences

I have no anticipated absences at this time

I have identified my absences below

Week 1: June 2 at 1:30 pm to June 7 at 3:00 pm

Please enter reason for conflict in the box below each date. Give approx. leave and return times

Sunday, June 2nd

Monday, June 3rd

Tuesday, June 4th

Wednesday, June 5th

Thursday, June 6th

Friday, June 7th

Week 2: June 9 at 6:30 pm to June 14 at 3 pm

Please enter reason for conflict in the box below each date. Give approx. leave and return times

Sunday, June 9th

Monday, June 10th

Tuesday, June 11th

Wednesday, June 12th

Thursday, June 13th

Friday, June 14th

Week 3: June 16 at 6:30 pm to June 21 at 1:30 pm

Please enter reason for conflict in the box below each date. Give approx. leave and return times

Sunday, June 16th

Monday, June 17th

Tuesday, June 18th

Wednesday, June 19th

Thursday, June 20th

Friday, June 21st

Week 4: June 24 to June 28 (trip to Pittsburgh will leave at noon on June 25th and return June 28th in the afternoon)

Mark if you plan on attending

Attending(Required)

Yes

Undecided

Reason for not attending(Required)

Week 5: July 1, 2, 3, and 5. This week is VIRTUAL & the time window is 10 am to noon.

Please enter reason for conflict in the box below each date

Monday, July 1st

Tuesday, July 2nd

Wednesday, July 3rd

Friday, July 5th

Parent/Guardian Signature(Required)

CAPTCHA

This field is for validation purposes and should be left unchanged.