Conditions of the leave granted:

the leave is limited to the period indicated
the applicant is responsible for the student’s supervision during the period of leave
the student is responsible for organising work through their class teacher
the student is responsible for following the relevant assessment policy for their cohort
assessment tasks due during the period of leave will be submitted BEFORE leave commences, unless alternate arrangements have been made with the Deputy Principal.
missed assessment tasks will be assigned an estimate as per the assessment policy for this year group
Other: _____________________________________________________________

I declare the information provided in this application is to the best of my knowledge and belief; accurate and complete. I recognise that should statements in this application later prove to be false or misleading any decision made as a result of this application may be reversed. I further recognise that a failure to comply with any condition set out in the Application for Extended Leave - Travel may result in the provided period of extended leave being cancelled.

GHS Application for Extended Leave

Glenwood High School