Discretionary (Special) Leave Application

Paid and unpaid leave will be considered in line with the school's discretionary leave guidelines and at the discretion of the Headteacher (with the exception of compulsory court attendance, maternity leave and school governor duties).

Please complete fully, and as far in advance as is possible. This form will be sent electronically and in confidence to Tracy De Freitas/Klara Sevrankova.

Name* Please enter your class (if applicable) Please enter your job title:*

Usual site worked atSPCBeckenhamWest WickhamPhoenix

Please enter your email address* Please enter your mobile phone number* Please enter your payroll number* Date of birth (dd/mm/yy)* Date applied for* Time to leave school (enter All Day if the whole day is requested)* Time of return to school*

If your request is for an appointment within the school day, have you tried to change this to an alternative time or date to reduce the impact on the school?*YesNoNot applicable

Reason for application* Please upload a copy/screen shot of your appointment letter No file chosen

Please let your line manager know when you will be absent, and please report to personnel@riverside.bromley.sch.uk upon your return if your leave is for an appointment during part of the day.

Please tick the box below to submit your electronic signature*I confirm my electronic signature