On Leave Request Form

The graduate student On Leave Request form must be initiated by the student to petition for a leave of absence from the Graduate School.

Review the section on continuous enrollment in the Graduate Catalog
Communicate your intentions with your advisor
List the email address for your advisory committee chair or graduate coordinator for approval.

The Graduate School will review and provide the final decision once the required signatures (including the Bursar's Office and Student Financial Aid) have been obtained. Contact Debbi Clements (debbi.clements@maine.edu) with any questions.

Name*

First & Last Name

Student ID*

7 Digit ID

Email*

Citizenship*

If you are studying on a student visa, please select 'International'

Select or enter value

Degree Program*

Select or enter value

Indicate the last term you enrolled in courses or research credits at UMaine*

Select or enter value

If you are enrolled in the current semester, should the Graduate School drop your courses?*

Select or enter value

Last Date of attendance*

Do you currently receive funding through an assistantship, fellowship, or scholarship?*

Examples include a graduate assistantship, research assistantship, teaching assistantship, or other fellowship.

Select or enter value

You must communicate with your supervisor if you plan on being on leave. Students are not permitted to maintain university funding while taking a leave of absence.

Indicate your enrollment status*

Full-time or part-time

Select

Indicate the semester you are requesting to start your on leave*

Note: On-leave requests can only be approved one year at a time.

Select or enter value

Indicate the semester you plan to return to your graduate studies at UMaine*

Select or enter value

Reason for On Leave Request*

Provide brief details

I acknowledge that I will be out of contact with the University of Maine graduate faculty and facilities for the period indicated. In order to maintain my place within the Graduate School, I petition for approval of the above request.

I have read carefully the regulations covering continuous enrollment given in the most recent issue of the Graduate School Catalog gradcatalog.umaine.edu.

Student Signature*

Approval Request

Indicate the name and email address of your advisor OR the graduate coordinator in your program. A request will be sent to them to approve electronically.

Advisor/Coordinator Name*

Advisor/Coordinator Email*

Send me a copy of my responses

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