Exam Leave Application

EXAM LEAVE APPLICATION Student: Year Group: Parent/Guardian: Date: ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ LEAVE DATES Start Date: End Date: Exams Potentially Missed: ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ 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: ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ 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 ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ 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 ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ DECISION □ Approved □ Approved with conditions □ Not approved Comments: _______________ Head of Year: [Head of Year Name] Date: _________ Parent Signature: _________________ Date: _________ Student Signature: ________________ Date: _________