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Blank Leave Application Form 05-22-04

This document is an application form for students seeking Study Leave, applicable only for session one. It outlines the conditions and requirements for approval, including signatures from parents, teachers, and the Head of House. Students must indicate their requested days and subjects, and teachers are asked to assess the student's suitability for Study Leave based on various criteria.

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ganeshhity
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2 views1 page

Blank Leave Application Form 05-22-04

This document is an application form for students seeking Study Leave, applicable only for session one. It outlines the conditions and requirements for approval, including signatures from parents, teachers, and the Head of House. Students must indicate their requested days and subjects, and teachers are asked to assess the student's suitability for Study Leave based on various criteria.

Uploaded by

ganeshhity
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR STUDY LEAVE

NAME: ________________________________ TUTOR GROUP: __________________________

I wish to apply for the privilege of Study Leave. Year


11 12 13
I understand that:
 Study leave is applicable for session one only. Variations to this must be negotiated with the Deputy
Principal
 This application requires the approval of my parent(s)/carer(s), teachers, tutor and Head of House
 If required by the College, I must attend school during my Study Leave
 If I do not maintain an acceptable standard, permission for Study Leave will be withdrawn
 I must sign in at the Campus Office and make myself aware of notices on the daily bulletin upon
arrival, and maintain regular contact with my tutor
 If I am present at the College on the morning I have Study Leave I must attend tutor
 I am required to uphold the conditions of Study Leave outlined in the accompanying letter

Student Signature: ____________________ Parent Signature: ___________________ Date: _________

Students please indicate in the space provided your requested day, the subjects you are enrolled in and
the names of your teachers. You will need to ask these teachers to recommend you for Study Leave.
Once completed, give this form in person to your Head of House for approval.

Day requesting Session 1 Study Leave


Monday Tuesday Wednesday Thursday Friday

    
Teachers: When making your recommendation for Study Leave please consider punctuality, cooperation, completion
of set work and attitude to study. If you have any further concerns, please contact the student’s Head of House.

Recommend Teacher’s
Line Subject Teacher Comments
Study Leave Signature
1 Yes  No
2 Yes  No
3 Yes  No
4 Yes  No
5 Yes  No
Tutor Yes  No

Head of House Comment: ___________________________________________________________________

Head of House Signature: _____________________________________ Date: ________________________

Approved Not Approved


(return form to office)
Approval letter issued Head of House meeting with student
(place on student file)
(update leave on SIMON)

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