Leave of Absence Request Form

Matriculated students must maintain continuous enrollment by registering for at least one course at the University of Rochester each fall and spring semester. If this is not possible, you must request a Leave of Absence by filling out the Leave of Absence Request Form below.

Please note: Changing status or taking a leave of absence may result in the loss of your slot in clinical courses and may jeopardize eligibility for financial aid, loan deferments, and University student health insurance.

If you have questions, contact the Registrar's Office at sonregistrar@urmc.rochester.edu.

Student Information

 

Leave of Absence Details

 Select Semester(s):

Student Signature