Non-Medical Leave Of Absence Request Form - Northeastern University
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3Non-Medical Leave of Absence
Request Form
Instructions for Taking a Non-Medical Leave of Absence:
1. Make an appointment with an Office of Global Services (OGS) advisor to discuss how the leave will impact your SEVIS
status and future eligibility for SEVIS benefits, such as co-op, Optional Practical Training (OPT), etc. before you stop
attending classes.
2. Make official arrangements for taking a leave of absence with your academic advisor at your college (for
undergraduate students and all College of Professional Studies students, including the College of Professional School
graduate students) or your graduate school office (for graduate students).
3. Bring this form to the Office of Global Services after your advisor/graduate school has signed it. Make an appointment
with an OGS advisor if you still have questions or any changes in your situation that you did not discuss in your initial
appointment regarding your leave of absence.
4. The OGS will terminate your SEVIS record for authorized early withdrawal if you have maintained your F-1 visa status
up to the point of your leave of absence and if you have requested the leave prior to withdrawing from classes.
5. You must depart from the U.S. within 15 days of the SEVIS termination as required by U.S. federal government
regulations.
Instructions for Returning from a Non-Medical Leave of Absence of Less than 5 Months Absence from the U.S.*:
1. Scan and email or fax your completed Request for Return from a Non-Medical Leave of Absence Form to the Office of
Global Services (OGS) approximately 70 days prior to the start date of the academic term in which you plan to return.
Documents can be submitted via email to Laurie Larocque at
l.larocque@northeastern.edu
or fax to 617.373.8788.
2. U.S. Federal Government regulations state that you can return to the U.S. only within the 30 days prior to the start
date of the academic term in which you will be resuming your studies. The OGS will request that SEVIS change your
SEVIS record status from terminated to active. U.S. federal government regulations allow for the OGS to request
reactivation to active status no earlier than 60 days prior to the start of your academic term. So it is in your best interest
to provide the OGS with this form 70 days prior to your planned resumption of classes so that the OGS will be ready to
submit this request as early as allowed.
3. Once SEVIS has reactivated your SEVIS record, the Office of Global Services will notify you via email so that you will
know that you are eligible for re-entry to the U.S. or to apply for a new visa if needed.
4. Please remember that SEVIS decides whether or not to reactivate your SEVIS record after the OGS has requested
reactivation. If for any reason SEVIS decides that you are ineligible for reactivation of your SEVIS record, or if SEVIS does
not reactivate your SEVIS record in sufficient time for you to re-enter the U.S. (or obtain a new F-1 visa if your visa has
expired) to resume your studies in the selected academic term, you may need to postpone your re-entry to the U.S. to
the next appropriate academic term. In this case, you will need to re-enter the U.S. using a new initial I-20, which you
will need to request from the OGS at least a few months prior to your new planned return date.
*May include summer vacation time occurring directly prior to the leave of absence, but not to exceed a total of 8
months outside of the U.S.
Instructions for Returning from a Non-Medical Leave of Absence of More than 5 Months Absence from the U.S.:
1. You should contact your college/graduate school a few months prior to your planned return date to let them know
when you will be resuming your studies.
2. Contact the OGS at least 3 or 4 months prior to your planned return to initiate the process for obtaining a new initial I-
20 and for full, detailed instructions. The OGS will tell you how much funding should be shown to obtain a new I-20.
Office of Global Services, 405 Ell Hall, 360 Huntington Ave, Boston, MA 02115
northeastern.edu/ogs | ogs@northeastern.edu | (p) 617.373.2310 | (f) 617.373.8788
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