Oklahoma Rising Scholars
Leave of Absence Request

Name *

SSN *

Email *

Home Address *

Telephone Number *

Institution where you are currently enrolled: *

Reason for requesting a leave of absence *

Semester(s) for which you are requesting leave *

Current Cumulative Grade Point Average *

Signature of Academic Scholar *

Date of Request *

Supporting Documentation for Leave of Absence *

Drop your files here

*

Send me a copy of my responses

Powered by