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SLC

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Attendance Verification

This form verifies the participation in SLC classes.

Student First Name

Who is your FI?

Student Last Name

Email

Attendance verified by *

the student

a family member

with staff assistance

Name of person verifying attendance.

Attended Winter 2026 Module

Week of 1/6/26

Week of 1/13/26

Week of 1/20/26

Week of 1/27/26

I did make up work for the missed time.

I approve payment to the SLC.

Signature

Thank you for verifying your attendance!

Office Hours: Tues-Thurs 10am-2pm

Call Us: (845) 662-1322, Ext 1

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