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AUTHORISED LEAVE OF ABSENCE PERMISSION FORM

In the Sixth form, all planned absence needs to be authorised. This is in order to ensure that students have permission to leave site, provide future employers and Universities with accurate attendance reports when requested and reduce the need for us to contact home when absence occurs. Students will need to ensure this form is completed fully and shown to main reception when signing out of the building. Name of student Year Group/Tutor Date of First Day of Absence Date of Return Reason for absence

Signed by parent/guardian : . Date: . Name of Parent/Carer: ..

This request for leave of absence during term time has been authorised / not authorised

.. Mr David Drake (signature required) Director of Sixth form CC: Tutor/LXG/file

. Date

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