Request Absence outside Holidays

Please check the guidelines for leave here.

Form

I the undersigned*

I am the *

Parent Guardian

Student 1

Student name*

Date of birth*

Student in class*

Student 2

Student name

Date of birth

Student in class

Student 3

Student name

Date of birth

Student in class

Hereby requests the Head of College to grant leave to the above student/s for the pressing reasons described below.

Reason for leave requested (for more information please check Guidelines Leaves)*

Reasons for leave requested (please enter full reasoning for request):*

Please upload supporting documents if applicable

Dates of requested leave:

From (first day of leave):*

To (Last day of leave - max 10 days excluding weekend)

Name *

Email address

Phone number *

Please note that the Dutch education authority requires students to attend school during the published school dates and can fine the school if students do not attend. We are given clear advice on what can and cannot be accepted for granting of a special leave request and are obliged to report to the Truancy Officer students who are absent for a certain number of days without the school's permission.

I have read, understood and I accept that by pressing SEND below I am providing a LEGALLY BINDING electronic signature.

Datum

Signature Residence Mentor (only for residential students)

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