Leave Of Absence Request Form
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1LEAVE OF ABSENCE REQUEST FORM
Name:
Campus ID:
Year:
1L 2L 3L 4L LLM
Permanent Address:
Non-SCU e-mail
Cell
address:
Phone
Number:
Semester that you will be on leave:
Semester that you will return:
Students who have loans/scholarships must meet with a Law Financial Aid advisor prior to submitting the form to Law
Student Services.
□ Met with a Law Financial Aid Advisor on:_______
□ Received Leave of Absence Policy
□ Received Treatment of Title IV Funds handout
□ N/A
International students on an F-1/J-1 visa must meet with an International Student Services advisor prior to submitting the
form to Law Student Services.
□ Met with an ISS Advisor on:__________
□ N/A
REASON FOR REQUESTING A LEAVE OF ABSENCE
Please rate the following on a scale of 1 to 6, with 1 being “very satisfied” and 6 being “not satisfied”. How satisfied were
you with:
your overall academic experience at the law school?
1
2
3
4
5
6
your interaction with faculty?
1
2
3
4
5
6
your interaction with your classmates?
1
2
3
4
5
6
Registered students in good academic standing may petition for a leave of absence for up to one year. The Leave of Absence
form should be submitted to the senior assistant dean for student services. A registration cancellation fee of $250 and/or full
or partial tuition will be assessed, depending on the requested date of the leave. Students on leave of absence are expected to
register for the term immediately following the expiration of the leave. Returning students should contact the Student
Services Office prior to the registration period to ensure that they have a registration appointment. A student who takes a
leave of absence after receiving a grade of “C” or lower in any course offered as a Fall one-semester course during the first
year but before receiving final grades for other courses must retake the one semester course upon his or her return. Upon
completion of the repeated course, the grade and units earned replace the initial grade and units in the GPA calculation,
although the initial grade and units will still appear on the transcript and a transcript notation will indicate that the course has
been repeated. After a leave of absence has been granted, if a student does not return by the date specified, the law school
may permanently withdraw the student. A student will not be readmitted without submission of an application for admission
that will be reviewed by the appropriate faculty committee.
I ___________________________________________ have returned all unearned loan and grant money to the University. I
do not have an outstanding balance with the University. I also have read and understand the Leave of Absence policy listed in
the law school bulletin
and will comply.
Student Signature:
Date:
Approval Signature:
Date:
01/15 mb
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