Application for Leave of Absence Form

Application for Leave of Absence Form
This form is to be completed by overseas students who are requesting a temporary suspension of their studies, also known as a leave of absence. A leave of absence will be granted in compassionate or compelling circumstances as per UK English College’s Deferral, Suspension, and Cancellation Policy. Students are required to provide documentary evidence of such circumstances. More information can be found in your Student Handbook.

Please be aware that there may be implications for your student visa. You should refer to the Department of Home Affairs’ website (http://www.homeaffairs.gov.au/) or Helpline (131 881) for information on what impact the potential change to your enrolment status may have upon your visa.
Student Details
Student Name*

First NameLast Name
Student ID/USI*
Date of Application*

DayMonthYear
Course*
I am requesting a leave of absence from the course I am enrolled in at UK English College for the period:
Start Date

DayMonthYear
End Date

DayMonthYear
(Note: Requested start date must be at least 10 working days from the date of submission of this application; however, leave of absence may be granted retrospectively where the student was unable to contact the organisation to inform them for reasons beyond the student’s control, (e.g., they were involved in a car accident.)
I am requesting this leave of absence for the following reason/s:
YesNo
YesNo
If yes, please provide below
Residential address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone

Area CodePhone Number
Mobile
Email
example@example.com
Student’s signature
Signed*
Date*

DayMonthYear
Printed Name*
Should be Empty:

Application for Leave of Absence Form

Student Details

Student’s signature