GSEHD Leave of Absence Request Form

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This form enables current students to request a leave of absence for the current term or an upcoming term.

Please complete the form in full and provide as much detail as possible for your plans. Our office will review your request and follow up within 2 business days.

Please note students requesting a leave of absence for the current semester past the withdrawal deadline for the semester will not be eligible to re-enroll the following semester and must remain on leave.

The Lynch School only grants Leaves of Absences for a maximum of two semesters at a time. After that, you may apply to extend your leave of absence for an additional semester or apply for readmission to the Lynch School. If you do not apply for an extension or readmission after your two semesters then you will no longer

be considered an active student at the Lynch School.

If you have any questions please email gadofc@bc.edu.

Email *

First Name *

Last Name *

Eagle ID (First 8 digits, no spaces) *

Faculty Advisor *

Degree *

Master's

Doctoral

Certificate

Please confirm your specific Graduate Program: *

Will you complete the present semester? *

Yes

I am currently on an LOA and am extending my leave for the next semester

If not, what courses will you be withdrawing from?

This is required for students that are not completing the present semester.

Date of Last Class Attendance *

YYYY

When do you plan to return to the Lynch School? *

Please note that the Lynch School only grants leaves for a maximum of two semesters at a time (not including summer semesters).

What type of leave are you requesting? *

Academic Reasons

Health Reasons

Personal Reasons

Military or Service Reasons

Other:

Please provide a detailed explanation in the space below describing your reasons for requesting a leave of absence from your graduate program. This information will be kept confidential and will only be seen by the Graduate Student Services Office. *

Would you like to meet with a member of our team to discuss your plans? *

Yes

I've already met with Graduate Student Services

If you have been working with a member of Graduate Student Services, who have you met with?

Bridget

Gracie

Kaitlyn

Steve

Is there anything else you would like to share with our team?

Submit

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