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Academic Leave of Absence Form

For Study Abroad or Internship students

An undergraduate student whose enrollment at the University is interrupted for one or more semesters must make application for re-admission, unless an approved leave of absence has been granted. A leave of absence is granted for one semester only. If academic or disciplinary suspension occurs prior to the effective date of the leave, the leave of absence is automatically canceled.

Personal Information
Leave Information
Semester on Leave of Absence  

Reason for Leave  

Do you receive financial aid? (student loans, grants, scholarships)

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