USE THIS FORM TO REQUEST A BREAK IN ENROLLMENT
Leave of Absence (LOA): break for LESS THAN two full terms, excluding summer. If in good standing at the time of leave, eligible to return under original catalog if program is still offered.
Withdrawal: Break for two full terms or longer, excluding summer. If granted readmission, return on catalog in effect at time of readmission.
Your break in enrollment is effective the date this form is received by the Registrar's Office. If you do not return from an approved LOA as scheduled, you will be withdrawn effective the last day of the last term in attendance.