Arkansas Early College High School
Make-up Assignment Slip
The purpose of this form is to document the need to make-up a missed AECHS assignment. The form is
only necessary when a student has missed a major assignment or test. Please fax this form along with any
relevant documentation to 870.367.8179 to attention: AECHS Coordinator.
Student Name: ____________________________________________________________
School District: ____________________________________________________________
Date(s) of absences: _________________________________________________________
Reason for absence: _________________________________________________________
Date Assignment was due or test was given: _____________________________________
Describe assignment missed:
Course Name: _____________________________________
AECHS Instructor: _________________________________
Class Period: _______________________________________
Student Signature: __________________________________ Date: ____________________________
Principal or Designee Signature: _________________________________
*Principal can appoint another person at the local level to be responsible.
Email address to confirm approval: ________________________________________________________________
**In some cases, such as a pop quiz, where an instructor does not give 0’s and the student is not penalized for
missing the quiz, this form is not necessary. This form is only necessary in cases of major assignments or exams.