Leave of Absence (LOA) Request

Overview: The process for a leave of absence (LOA) is a collaborative effort between the Faculty Advisor, the Specialty Coordinator (for DNP students), and the student to outline academic and/or clinical requirements to ensure the student’s successful progression in the nursing program following a leave of absence. With guidance, the student must complete the "CON DNP & PhD LOA Plan" PDF form (email con-osaa@arizona.edu for a copy or go to the DNP Program Forms and Resources page).

Instructions:

1. Students must meet with their Faculty Advisor/Specialty Coordinator to discuss the need for an LOA.

2. The student will then complete the "CON DNP & PhD LOA Plan" form and email it to con-osaa@arizona.edu.

3. On behalf of the student, the Faculty Advisor or Academic Advisor will complete this electronic "Leave of Absence (LOA) Request." After this request has been submitted, the Faculty listed on the form (as well as the PhD or DNP Program Director) will be emailed a copy.

4. The student will then need to submit the LOA Petition via GradPath for Graduate College review/approval. The LOA is not official until it is approved by the Graduate College; the Graduate College will not consider an LOA Petition unless the student has submitted the "CON DNP & PhD LOA Plan" to con-osaa@arizona.edu.

Instructions for submitting the GradPath Petition are provided on the "CON DNP & PhD LOA Plan" form.

Approval for an LOA: The Graduate College reviews the Graduate Petition for a Leave of Absence which the student must submit per the Graduate College - Leave of Absence Policy.

Student Name:*

First NameLast Name

Student Email*

example@arizona.edu

Student's Degree*

Advisor Name*

First NameLast Name

Advisor Email*

example@arizona.edu

For DNP Students Only: Select Specialty

For DNP students only: Specialty Coordinators Name

First NameLast Name

For DNP students only: Specialty Coordinators Email

example@arizona.edu

I attest that the student has met with their faculty advisor and they support the student's request for the LOA:*

YesNo

I have reviewed the LOA Plan and new course schedule for the student's Plan of Study:*

YesNo

Submit the form, "CON DNP & PhD LOA Plan" here:*

Start date/semester anticipated for LOA is:*

EXAMPLE: Summer 2023

End date/semester for LOA (i.e. anticipated return from the LOA) is:*

EXAMPLE: Summer 2024

For DNP Students Only: the semester the student anticipates starting or resuming clinical training:

EXAMPLE: Fall 2024

Student was instructed to submit a Graduate Petition for a Leave of Absence to the Graduate College using Gradpath.*

YesNo