Leave of Absence Request

This form should be completed and submitted to the Attendance Team within four weeks of the start of the proposed leave of absence. Separate forms should be completed for each student if there is more than one request.

Please be aware that leave of extended leave of absence taken during term time will not be authorised unless the school considers there to be exceptional circumstances supporting the application. We recognise that many of our students have strong links abroad – there are fourteen weeks holiday which we feel is ample time for family visits. Parents and carers are reminded that extended leave of absence during term time taken without permission will result in unauthorised absence and may lead to a Penalty Notice being issued by the Local Authority. This is a fine of £80 which rises to £160 if it is not paid within 21 days, these are issued to each parent for each child. Failure to pay a Penalty Notice may result in prosecution.

If for any reason your child’s absence exceeds 20 days in total, their name may be removed from our school roll, in accordance with the Local Authority’s Child Missing from Education (CME) procedures.

Leave of Absence Form

Please complete the form below with as much information as possible.

    Your Details

    Your Email Address* Your Date of Birth* Your Relationship to the child*

    Your Child's Details

    Details of Absence

    Evidence (optional)

    If you have any documentation to support your request, please upload this below. The maximum file size limit per file is 6.6mb:


    If you are having any trouble completing this form please contact our Attendance Team directly: attendance@levenshulmehigh.co.uk

    Quality Marks, Awards & Affiliations

    We strive for excellence and are very proud of our achievements and affiliations.

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    Greater Manchester Education Trust logo Chartered College of Teaching Institutional Member 2023/24 badge Cyber Essentials Certified logo
    The Rainbow Flag Award logo One Education Reading Award Gold logo FFT National Attendance Award 2023/24 logo Eco-schools logo Confederation of School Trusts logo Eco-Schools Bronze Award 2020 logo Leading Parent Partnership Award logo Stonewall School Champions logo The Quality in Careers Standard logo Educate and Celebrate logo Manchester United Foundation logo Schoolastic logo The Schools Cooperative Society logo Values-based Education logo GCSEPod logo Music Mark School 2020-21