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:_________________________________________
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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 _______________