Exam Leave Application

Greenwood International School

EXAM LEAVE APPLICATION

Student: Emma Thompson
Year Group: Year 10
Parent/Guardian: James Thompson
Date: 2026-09-01

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LEAVE DATES

Start Date: 2026-09-01
End Date: 2026-09-01
Exams Potentially Missed: [exams_missed]

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REASON FOR LEAVE

Please provide the reason for this leave request:

□ Medical appointment (details: _______________)
□ Family emergency
□ Religious observance
□ Pre-booked family commitment
□ Other: _______________

Detailed explanation:

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IMPACT ASSESSMENT

Exams affected: [exams_missed]

If this leave is approved, the student will:
• Miss revision time for [Subjects]
• Need to catch up on [Work]
• Be responsible for completing [Tasks] before departure

The student accepts that:
• No special arrangements will be made for missed exams
• Any grade impact is the student's responsibility
• Catch-up work must be completed on return

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CONDITIONS OF APPROVAL

If approved, the following conditions apply:

1. All assigned work must be completed before departure
2. The student must attend all exams falling within the leave period
3. A catch-up plan must be agreed with subject teachers
4. The student must sit any missed exams on resit dates (if available)
5. Attendance upon return will be monitored

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DECISION

□ Approved  □ Approved with conditions  □ Not approved

Comments: _______________

Head of Year: [Head of Year Name]    Date: _________

Parent Signature: _________________    Date: _________

Student Signature: ________________    Date: _________

Greenwood International School