CRANSTON PUBLIC SCHOOLS

845 Park Avenue

Cranston, Rhode Island 02910-2790

                                                                                                   Raymond L. Votto, Jr.

                                                                                                                                  Executive Director

                                                                                                                                       Human Resources & Public Relations

ABSENCE DUE TO ILLNESS IN THE FAMILY FORM

Name of Teacher/Teacher Assistant:

School:

My Absence on was due to the illness of

                                   date                                                                                                              name

                      relationship

   My absence was made necessary since I could make no other arrangements to care for this member of my family who was ill on the above stated date.

  Signature:          Date:

This form is to be completed and returned to the Human Resources Office on the day the Teacher/Teacher Assistant returns from an absence due to illness in the family.

Telephone: (401) 270-8189                Fax: (401) 270-8641                 TDD: (401) 270-8115            Email: rvotto@cpsed.net  

The Cranston Public Schools welcomes diversity in its employment opportunities, programs and activities.