Leave of Absence Form

Please use the link above to access the Adobe Sign version of this form. Once signed, the Office of the Registrar will receive a copy. 

This form is required to be submitted within the first 2 weeks of the semester that you are enrolled in. If you are not enrolled in the semester or requesting for a future semester please proceed. View the Leaves of Absence policy for more information. Please note that you will be dis-enrolled from any classes that you are enrolled in for the upcoming semester.