APPLICATION FOR LEAVE OF ABSENCE FOR ANNUAL HOLIDAY by dfhrf555fcg

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									  APPLICATION FOR LEAVE OF ABSENCE FOR ANNUAL HOLIDAY




I request that …………………………………………………………………………………… (please print the name of

your child) from ………………….. (Class) be granted authorised absence from Kingshill

Infant School.

From ………………………………………………………………… To ……………………………………………………………..

Reason:




   …………………………………………………………………………………………… Date …………………………………
   Signature of Parent/Carer
   (Please delete as necessary)




For Office Use only:




Request Approved / Request Denied

Signed by Headteacher

……………………………………………………………………… Dated ………………………………….
                      Holiday Authorisation Calculation Chart

Points possible                                                               Points
When is the holiday planned for?
The first week of September is the beginning of the academic year and         Holiday leave will
full attendance is vital if pupils are to establish themselves academically   not be authorised.
and in terms of friendship groups.

The first week of a new term introduces new topics and sets out               1st or last week of
expectations for the term. The last week of a term offers opportunities       Spring or Summer
for children to show what they have learned in a variety of ways so that      Term = 2 points
teacher assessments may be undertaken. Attendance is important.
Pupil’s attendance level is?
                                                                              Less than70% = 6
(Up until Autumn half term consider the % figure from the previous            70% to 80% = 5
year.)                                                                        80% to 85% = 4
                                                                              85% to 90% = 3
How much holiday leave has already been taken in current academic year?       8 or more days = 4
NB: If 10 days leave has already been taken in the academic year absence      pts
cannot be authorised.                                                         5 to 7 days = 3
                                                                              2 to 4 days = 2
                                                                              1 to 3 days = 1
                                            Subtotal
Heads Discretion
Any special mitigating or aggravating circumstance which indicates that a     Subtract or add 2
holiday should be authorised or not authorised contrary to score              points
indicated above.
Details of mitigation/aggravation




                                               Total

Leave for family holiday where the total is 7 or more will not be authorised
The only exception to the above may be where there are, in the opinion of the Head Teacher,
‘exceptional circumstances’ (including religious and cultural considerations) when an additional
comment will be included in Head’s Discretion box.

								
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