SPA NYC Leave of Absence Request Form
Email address *
First Name: *
Last Name: *
UNI: *
TC ID: *
SPA cohort (year you began SPA): *
What year and semester do you anticipate returning to the SPA NYC program? *
Please provide a brief explanation of what prompted you to request a leave of absence from the program: *
Please provide a description of your leave of absence plan. (For example: planned communication with your cohort members and/or the SPA NYC administration, any professional development and/or leadership training you plan to pursue during this time, etc.): *
Below, please type your full name as it appears on your Teachers College degree audit. By typing this information below, you are indicating that you have checked your degree audit to confirm that all of your grades are recorded therein, and that there are no Bursar's Office or other financial holds on your account (this will prevent instructors from entering your grades). *
A copy of your responses will be emailed to the address you provided.
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