Petition to Return from Leave of Absence

Petition to Return from Leave of Absence
Important Note:

Complete and submit this form to your department at least 30 days prior to the start of the semester in which you plan to return.
- Student ID*
- Student Email*
  example@example.com
- Title*
  
  Mr.Mrs.Ms.
- Student Name*
- Contact Number*
- Degree*
  
  UndergraduateMastersDoctoral
- Program*
  
  Artificial Intelligence and Computer EngineeringArtificial Intelligence InnovationElectrical and Computer EngineeringTechnology and Creative Innovation
- Current Semester*
  
  FallSpringSummer
- Current Year*
- Personal Email*
  example@example.com
- Current Address*
  
  0/25
- Previous Attended Class*
- Class Level Upon Return*
- Current Expected Graduation Semester*
- New Expected Graduation Semester*
- Students Signature*
- Date*
- Should be Empty: