Student Support Services
(S3)

Leave of Absence (LOA) Request Form

Please complete the form below to request a Leave of Absence. Required fields are marked with an asterisk *.

All students should speak with one of the S3 Deans before taking a LOA to understand the process and any implications of taking a leave. Please do not submit this form before speaking with a Dean.
Semester in which LOA begins
 
 
Intended Semester of Return
 
 
When complete, please Submit the form.
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