Authorised Leave Request Form

Authorised Leave Request Form
London Film School regards attendance as a fundamental part of a student’s studies and an important prerequisite for the highest levels of achievement.

Circumstances may arise, however, where a student is required to take an authorised temporary break from their studies, known as Authorised Leave.

Authorised Leave is not an automatic entitlement and therefore it may be refused depending upon the circumstances and the evidence provided.

Authorised Leave must be no longer than 10 working days – this is non-negotiable. If a student wishes to request leave for a longer period, they may have to consider deferring their studies and are advised to speak to their Personal Tutor and Registry.
Please ensure you read the LFS Authorised Leave Policy carefully before submitting your request.
Section 1: Personal Details
Name

First NameLast Name
Date of Birth

DayMonthYear
Date
LFS Student number
University student number
Course number
Section 2: Details of your request
Any information you provide on this form will be treated in confidence and will only be seen by the small number of LFS staff involved in managing your request.
Reason for request
Further details
Authorised start date

DayMonthYear
Date
Authorised end date

DayMonthYear
Date
Section 3: Guidance and Declaration

Once you have completed the form, please review the information submitted carefully and sign below. If you are submitting this form electronically, please type your name below. You should then submit the form together with the supporting documentation to the Term Tutor who will consider your request.

If the request is approved, this will be confirmed to you in writing by Registry.
I declare that the above information is factually correct and that I have read the guidance and policy provided.
Supporting documentation

Please drag and drop any supporting documentation for your request
Cancelof
Date of Submission

DayMonthYear
Date
Signature

Clear
Note to students: The next sections are for Staff Members only. Please click on the Submit button.

Section 4 - Office use only - Term Tutor
Decision details

Request form completed in fullAppropriate documentation providedRequest for 10 days or lessOther staff (e.g. Personal Tutor, Head of Department) consulted and informed (if required)Request Denied
Reason for Denial
Signature

Clear
Date

DayMonthYear
Date

Section 5: Office use only - Acaedmic Registry
Type a question

Request form completed in full by student and Term TutorAppropriate supporting documentation including proof of travel providedRequest and documentation filed electronicallyRequirements for authorised leave metStudent informed about outcomeAttendance records updated
Date

DayMonthYear
Date
Signature

Clear
Should be Empty: