LEAVE OF ABSENCE REQUEST

Before filling out this form, please review Leave of Absence (LOA) specific rules for your program below. The information will inform you how to complete sections of this form. You must submit this form for every semester you are requesting a LOA. Contact your advisor or omamangun@sandiego.edu if you have any questions about the LOA process.

LOA Program Specific Rules

Traditional In-Person Programs (MA, MTS, MDIV, Concurrent MDIV/MTS, Certificate in PriestlyFormation) allow for up to two consecutive semesters.•
Online Programs (MTS-FT, FST Certificate in Franciscan Theology) allow for up to three consecutive semesters.

Name

First NameLast Name

Student ID #

USD 9-digits

Email

example@example.com

Degree or Certificate Program

What was your starting semester?

What was your starting year

What semester are you requesting an LOA?

What year are you requesting an LOA?

Reason(s):

Have you ever been granted a leave of absence before?

If yes, what semester(s) and year(s)? If no, leave blank.

What semester do you anticipate returning?

What year do you anticipate returning?

Student Signature

Please select your advisor

Advisor Signature

Advisor Approve or Deny:

VP Academic Affairs/Academic Program Director Signature

Date