Intent to Return from Leave of Absence

Intent to Return from Leave of Absence

Please complete the information below as the first step in the process to return from a leave of absence.
Return information and any supporting documentation is due 3 weeks prior to the term you plan to return/re-enroll. It is critical that students adhere to the deadline in order to allow ample time for administrative processing. Any future course registration/ housing will be dropped if information is not received by the appropriate deadline.

The Academic Success Center and Office of Student Success & Wellbeing are available to answer questions regarding the return process and university support. We encourage students and families to proactively discuss strategies and resources to support wellbeing and success upon return.
Name

First NameLast Name
L#
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Academic Major
Current Academic Level

Other
Term of Return
Please provide a brief description of the circumstances leading to your leave of absence and how they have improved, resolved, or ended.
List any resources/offices/strategies you will be utilizing to support your ongoing success and wellbeing upon return.
Upload any relevant documentation here (medical/treatment summary, readiness to return, personal statement, etc.)

Cancelof

SPECIAL STATUS VERIFICATION

The following students must consult with the designated campus representative.
Are you a student-athlete?
Are you a veteran or veteran-dependent student?
Are you an international student with an F-1 Visa?

SPECIAL STATUS VERIFICATION