Leave of Absence FormLEAVE OF ABSENCE - STATEMENT OF INTENT TO RE-ENROLL
Student Name Printed:
Program: Student ID #:
I am taking a leave of absence beginning
I certify that I will be returning to Beal University Canada
NOTE TO STUDENTS ON PROBATION: This form will not be processed if you are currently on probation or will be on probation at the end of the current mod.
NOTE TO LOAN BORROWERS: A student who stops attending during an approved loan period for any reason (approved leave of absence, medical, or otherwise), and who has future disbursements pending will have all future disbursements cancelled.
I certify that I have read the above and understand the implications of taking a leave of absence.
I would like to extend my LOA end date to
OFFICE USE ONLY:
LOA Approved ⬜LOA Denied ⬜
Signature Director Bursaries/Financial Aid:
LOA Extension Approved ⬜LOA Extension Denied ⬜
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Leave of Absence Form
Agree & Sign