John Lewis Elementary School Attendance Form

Please use this form for all for all attendance matters (absent, tardy, early dismissal, etc.). Please review the DCPS Attendance Expectations. A note must be received within five (5) days after the first day of absence.

To contact the attendance counselor, email shannon.tidwell@k12.dc.gov or evelin.bercian@k12.dc.gov

Student First Name

Student Last Name

Type (Required)

Date Absent/Tardy/Early Dismissal (required)

Upload Attachments (Doctor's Notes, etc.)

Upload File

Consecutive Day Absences

Please check this box if you wish to report consecutive day absences.

Consecutive Absence Dates

Early Dismissal Time

If early dismissal, please add time of pickup

Parent/Guardian Name (required)

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone Number

Other Comments

Thanks for submitting!

John Lewis Elementary School Attendance Form

Type (Required)

Upload Attachments (Doctor's Notes, etc.)

Consecutive Day Absences

Early Dismissal Time

Parent/Guardian Name (required)

1335 Farragut Street NW, Washington, DC 20011

T: 202.576.6226
F: 202.770.7465

johnlewises@k12.dc.gov