APPLICATION
FOR LEAVE OF ABSENCE DURING TERM TIME
Attached
is an application form for you to request permission
for your child to be absent from school to take part
in a family holiday. Before completing the application
form, please read these notes carefully:
-
If you wish to
take your child on holiday during term time, you
must apply for permission in writing using the
attached form. Permission for authorised
leave of absence may be granted for holidays totalling
no more than two weeks in any school year, unless
there are very exceptional circumstances.
-
There are certain
times of the year when a child may experience problems
because of missing school. These include
examination periods, at the time of starting a
new school and at the start of a new school term. In
deciding whether to authorise your child’s
absence and give permission for a holiday in term
time, the school will take these and other factors
into account.
Having read these
notes, if you still wish to apply for a leave of absence
for your child to accompany you on holiday during term
time then please complete the application attached. This
form should be returned to your child’s school
as far in advance of the proposed holiday as possible.
Issued
by Nottinghamshire Education Welfare Service

Print
Form
APPLICATION
BY PARENT/CARER FOR CHILD’S LEAVE OF
ABSENCE FROM SCHOOL DURING TERM TIME
Pupils
Name ……………………………………. Tutor
Group/Class
Home
Address …………………………….........................................
………………………………………………………………………..
I
wish to apply for my child to be absent from school during
the following dates:
Date of last day at School ………………… Date
of return to school …………..
Total number of days missed ……….
Reason for absence from school ……………………………………………………
……………………………………………………………………………………….
……………………………………………………………………………………….
I make application for my child named above
to have authorised absence from school for the reasons
stated. I understand that if this is not
agreed then any absence will be treated as unauthorised
and may lead to the issue of a Penalty Notice or a
Summons for irregular school
attendance.
Name of Parent/Carer making application …………………………………………….
Signed ……………….........................
Date ……………………………………………
PLEASE RETURN COMPLETED APPLICATION
FORM TO YOUR CHILD’S SCHOOL GIVING AT LEAST 4
WEEKS NOTICE OF INTENDED ABSENCE
For Office Use
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Holidays already taken
|
% Attendance
|
Authorised by Headteacher
…………………………
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