Leave Request

 
 
 
 
 
 
 
 
 
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

Please detail the nature of your leave.

 
 

By checking below, I acknowledge that I understand that any leave may affect my degree progress and my financial aid eligibility. I understand that prior to taking leave, I will need to work through the details with the appropriate offices. I also understand that all content missed during my leave of absence must be completed by the timeline provided upon my return. If submitted by an Administrator: The Administrator affirms that the above-referenced items have been discussed with the student requiring a leave of absence.

 

If you have documentation you can provide to support your leave, please attach here. Multiple attachments are accepted.

Drop your files here