Leave Request

Are you an Administrator or Student?

If the student is not capable of completing this form based on current circumstances, please list the Administrator submitting the form on behalf of the student.

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Type of Leave*

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.

Drag and drop files here or