Application for Leave of Absence

A Leave of Absence form is to be submitted by students who plan on returning to Saint Mary's College after no more than 2 full terms from the start date of the leave.
The Leave of Absence will be accepted through the end of the fourth week of the term in which you are leaving.    

If you are leaving after the fourth week you will need to Withdraw from the college. 

Special circumstances may warrant a leave of absence later in the term, at the discretion of the Registrar.
* These forms will not be accepted if the start of the leave is more than 30 days away*

Note you will also need to fill out an additional Medical Leave Form pdf at the bottom and submit it with this online form.

All fields are required.

(with area code)

Students on academic probation MAY NOT request a Leave of Absence. The Leave of Absence will be accepted through the end of the fourth week of the term in which you are leaving. If you are leaving after the fourth week you will need to Withdraw from the college.

I request a leave of absence for the following period of time. Mark appropriate box(es):

Please indicate whether this is a personal leave or medical leave.
If this is a personal leave please state the reason for the leave. If this is a medical leave please also fill out the Medical Leave Additional Form at the of bottom of this page.

Medical Leave Form

Fill out the Medical Leave Additional Form via the link below, save to your computer, then upload.
Medical Leave Additional Form (pdf)

Use the browse button below to upload your filled out Medical Leave Additional Form.

Files must be less than 2 MB.
Allowed file types: pdf.