DHS Holiday Form 2019

Debenham High School
APPLICATION FOR LEAVE OF ABSENCE FOR A STUDENT
Important information for parents/carers applying for holiday leave:
- There is no automatic right to absence for a family holiday. Authorisation will depend on current attendance record being greater than 95% and other criteria set out in the school’s ‘Attendance Policy’.
- Request for leave should be submitted to the school no less than 6 weeks prior to the start of the holiday.
- Author isation during GCSEs (including mock exams) and in the first term of any new school placement is not likely to be granted.
- Any requests for extended leave, i.e. more than 5 school days in any academic year, will only be authorised in exceptional circumstan ces .
For the school to consider granting authorisation for absence, one or more of the criteria listed below must be met. Please tick the criteria that applies:

A single annual holiday which can only be taken in term-time for reasons other than financial A day of religious observance Family wedding or special birthday (close relative) Participation in an approved public performance for which a licence has been approved by theLA Participation in regional or national competitions of recognised sporting or other activities Participation in a recognised youth group of limited duration Extension of a family holiday by one day due to travel or similar constraints
If none of the above apply it is unlikely that the absence will be authorised. Please see the attendance policy on the school website for further detail.
I wish to apply for leave of absence from school to be granted to:
Name of Child
Form Group
Affected Dates to Schooling

Day Month Year
From (last day in school)
.

Day Month Year
To (date of return to school)
Siblings that this absence also affects (who attend Debenham High School or any of the Pyramid Primary Schools: Bedfield, Creeting St Mary, Earl Soham, Helmingham, SRH Debenham, Stonham Aspal and Wetheringsett Primary School):
*A LETTER ADDRESSED TO THE HEADTEACHER MUST ACCOMPANY THIS FORM, GIVING REASONS WHY THE ABSENCE CANNOT BE ARRANGED DURING SCHOOL HOLIDAY.*
Please upload your accompanying letter here:

Browse Files
PDF format preferred Cancel of
Or please enter your letter here:
Total number of school days requested in this application:
Total school days taken this academic year:
Signature of Parent/Carer

Clear
Date

Day Month Year
Date
Print Name
FOR SCHOOL USE ONLY
Timetable & School Diary checked? Form Tutor consulted? Y/N Current Attendance:
Timetable & School Diary checked? Form Tutor consulted? Y/N Current Attendance:

Previous holiday checked? Interview offered to Parent/Carer? Y/N Date
Timetable & School Diary checked?

Yes No
Form Tutor Consulted?

Yes No
Previous Holiday checked?

Yes No
Current Percentage Attendance
Authorised/Unauthorised Signature

Clear
Date

Month Day Year
Date
Reasons (if any) for not authorising:
Should be Empty:

Debenham High School

APPLICATION FOR LEAVE OF ABSENCE FOR A STUDENT

FOR SCHOOL USE ONLY