CANLEY VALE HIGH SCHOOL
 
FAILURE TO COMPLETE/SUBMIT AN ASSESSMENT TASK
 
APPEAL DUE TO ILLNESS / MISADVENTURE
 
To Deputy Principal / Assessment Committee (DP, P and HT)
 
To be completed on the
FIRST DAY OF RETURN TO SCHOOL BY THE STUDENT
Name: ______________________________________________

Subject: _____________________________________________

Class Teacher: _________________________________________________

Head Teacher: _________________________________________________

Assessment task: (Topic) ________________________________________________

Date of task missed: _____________________ Weighting: %

Reason for appeal:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________


Evidence for consideration (Medical Certificate) (Death Notice) (Other) _____________

_____________________________________________________________________

_____________________________________________________________________


Date: _____________________


Student Signature: ________________________________________