MONTHLY ATTENDANCE REPORT
(PLEASE USE BLUE INK)

Student Name Grade Date

For the month of
Fill-in calendar dates and circle the dates school was attended for this month.
Sunday Monday Tuesday Wednesday Thursday Friday Saturday Total
        
        
        
        
        
Previous Cumulative Days
Days taught this month +

Cumulative Days to Date =
  Hours taught per day


Teacher's Signature

NOTE: Please retain a copy of all reports you've turned in to the school. This report is due in the school office no later than the 7th of every month. After the 7th, include a $15.00 late fee with this report.