School Absenteeism Form Click here to read the School Absenteeism Frequently Asked Questions. General Information Date Reported: Invalid Input School Information School District Name:(*) -- Select Your School District --Career Educ Ass'n of N Central Illinois (CEANCI)Durand CCSD 322Harlem Consolidated District 122Hononegah Comm HS 207Kinnikinnick CCSD 131North Boone CUSD 200Pecatonica CCSD 321Prairie Hill CCSD 133Regional Alternative School (RAS)Regional Learning Academy (RLA)Regional Learning Center & Regional Attendance Coop (RCL & RAC)Rockford Sch Dist 205Rockton Sch Dist 140Shirland CCSD 134South Beloit CUSD 320Winnebago Co Spec Ed CoopWinnebago CUSD 323Other Invalid Input Name of School:(*) Invalid Input Student Enrollment:(*) Invalid Input Total Staff:(*) Invalid Input Influenza-like illness includes Fever ≥ 100°F and Cough and/or Sore Throat, in the absence of a KNOWN cause other than influenza. Student Absences Influenza-Like Illness:(*) Invalid Input Other:(*) Invalid Input Staff Absences Influenza-Like Illness:(*) Invalid Input Other:(*) Invalid Input Totals Students Student Absences:(*) Invalid Input Student Absentee Rate (%):(*) Invalid Input Student ILL Rate (%):(*) Invalid Input Staff Staff Absences:(*) Invalid Input Staff Absentee Rate (%):(*) Invalid Input Staff ILL Rate (%):(*) Invalid Input Report absentee rates of ≥ 10% to the health department immediately at 815-720-4050 or 815-720-4080. Comments Comments: Invalid Input Enter code how it appears:(*) Refresh Invalid Input Submit