Student Exemption Application

This form is for parents or guardians to apply for an exemption from a student’s compulsory school attendance for a specified period. All applications will be reviewed by the CEO. You will be advised of the outcome within a reasonable timeframe once the appropriate decision has been made. For questions about this form, please contact admin@icb.qld.edu.au.

Student/s Details

Enter your child/ren's details in the fields provided. To add another child, click the + button.(Required)

Student Full Name

Date of Birth

Year Level

Parent or Guardian Details

Parent/Guardian First Name(Required)

Parent/Guardian Last Name(Required)

Parent/Guardian Email(Required)

Parent/Guardian Contact Phone(Required)

Postal Address and Postcode(Required)

Student Exemption Details

Exemption From(Required)

Exemption To(Required)

Number of school days absent(Required)

Reason/s for seeking exemption (please tick)(Required)

Illness

Cultural or Religious Reasons

Extended Travel

Family Reasons (Please list here)

Other reason/s (Please list here)

Family reason/s(Required)

Other reason/s(Required)

Details of reason/s exemption is requested:(Required)

Please attach documentary evidence to support application (e.g. statement from medical practitioner; etc.)

Drop files here or

Max. file size: 512 MB.