Revised 5/13
Educational Enhancement Opportunity Request Forms
To request an absence to attend or participate in an educational activity, please complete this
application form and return it to your school principal at least ten (10) days prior to the absence.
Such an absence as requested by this signed application and approved by the school principal,
will be considered an excused absence. The major intent of the activity must be educational in
order for the student to be granted this type of absence. The proposed activity must have
significant educational value and be composed of an intensive program related to the core
curriculum (e.g. art programs, dance programs, State Fair activities, workshops that are
educational in nature, college visits, etc.). The Principal will use his/her good judgment to
determine if the activity meets guidelines. A student may be approved for up to ten (10) days of
absence per year for this purpose. Students who are granted an absence under this law will be
allowed to make up all school work. Student grades can not be affected by lack of attendance or
participation in classes for approved days. This type of absence can not occur during the
school’s K-PREP Testing or District-wide assessments, unless there are extenuating
circumstances that are approved by the Principal. Decisions may be appealed to the
Superintendent and then to the Board of Education.
Student Full Legal Name: _____________________________ Date of Application___________
Name of School ___________________________________ Homeroom Teacher____________
Date of Birth: __________________ Age: _____ Grade Level: ________Home Phone________
Residence Address: _____________________________________________________________
City: ____________________________________ State: _____________ Zip Code: _________
# of Excused Absences To Date______# of Unexcused Absences To Date_____# of Total
Absences to Date______
Date(s) of Intended Absence(s)____________________________________________________
Siblings attending other schools participating in the educational activity (please list student’s
name and school):
______________________________________________________________________________
______________________________________________________________________________
Please explain the nature of the event the student will be attending and how the activity meets the
criteria of (1) having an educational purpose, (2) having “significant educational value, ” and (3)
how the activity is directly related to one of the core curriculum subjects of English, science,
mathematics, social studies, foreign language or the arts. Please attach a schedule of
activities/events to be attended. (Use additional paper, if needed, and attach to this completed
form.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_______________________________________ ____________________________________
Signature of Student
Date
Signature of Parent/Guardian
Date