Application for Leave of Absence

The Leave of Absense Form is now closed for the 2021 Fall Term. 

The Form is currently open for Graduate Students.


Any matriculated student who is not on probationary status may request a leave of absence from Saint Mary's College. The leave may be for one fall semester, one January term, one spring semester, or for up to a full academic year. Students who do not return from leave within one academic year will be withdrawn from the college, and will be required to apply for readmission. 

A leave of absence request will be accepted through the end of week 4 of the term—not including Jan Term—during which the leave takes place (please refer to academic calendar for exact dates). We will not accept any leave requests after week 4. As such, you will need to withdraw from the college. If your leave is medical-related, you will also need to fill out an additional Medical Leave Form PDF at the bottom and submit it with this online form.

When a student goes on a leave of absence during the add/drop period (please refer to academic calendar for exact dates), all enrolled courses will be dropped from their schedule. If taking a leave after the add/drop period, all courses will continue to be listed on the student's transcript and the designation of "W" will appear in place of a grade. A "W" grade will not affect the cumulative grade point average.

All leave requests will be processed effective the date of submission of this form. Any leave requests for a future date will not be honored and you will be required to resubmit the request when the leave is scheduled to take place. For information pertaining to tuition refunds, please visit the Business Office website by clicking here.  


(with area code)
What was your last date of attendance?
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.