Overview

KoontzIntermediateSchool

305 Overlook Road

Asheville,NC28803

(828) 684-1295

FAX (828) 684-1290

 

REQUEST FOR APPROVED EDUCATIONAL STUDENT LEAVE

 

 

Student’s Name:__________________________________________________________

 

Parent’s Name:___________________________________________________________

 

Homeroom Teacher:______________________________Grade:___________________

 

Dates of Leave:___________________________________________________________

 

Reason for request of approved leave:_________________________________________

________________________________________________________________________

________________________________________________________________________

How will this trip relate to the curriculum of your child’s grade level?

 

________________________________________________________________________

________________________________________________________________________

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**Class work missed due to absences, which cannot be made up outside of the classroom (seminars, co-operative group activities, etc.) will be reflected in the final grade for the nine weeks period. All absences (excused or unexcused) are counted toward the attendance policy requirement.

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For office use only:

 

Approved __________Disapproved __________

 

Principal’s Signature ________________________________ Date _______________

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