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Registrar'S Office: Leave of Absence From Graduate Studies

This document is a leave of absence form for graduate students. It allows students in a research-based master's or PhD program to take up to 3 semesters of leave from their studies. During a leave of absence, students may not carry out any academic activities or receive financial aid. The form requires students to identify the semester(s) for which they are requesting leave and their reasons for the request. It must then be approved by the student's research supervisor, graduate program coordinator, and registrar's office.

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Juan C. Ramirez
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39 views1 page

Registrar'S Office: Leave of Absence From Graduate Studies

This document is a leave of absence form for graduate students. It allows students in a research-based master's or PhD program to take up to 3 semesters of leave from their studies. During a leave of absence, students may not carry out any academic activities or receive financial aid. The form requires students to identify the semester(s) for which they are requesting leave and their reasons for the request. It must then be approved by the student's research supervisor, graduate program coordinator, and registrar's office.

Uploaded by

Juan C. Ramirez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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REGISTRAR’S OFFICE

LEAVE OF ABSENCE FROM GRADUATE STUDIES

Last name: First name: Student no.:

MScA PhD Program:

Research supervisor:

Co-supervisor: Co-supervisor:

 Only students registered for a research-based master’s or doctorate may take a leave of absence from studies.
 No academic activities may be carried out during the leave of absence period.
 In total, 3 semesters (consecutive or otherwise) may be taken in leave of absence throughout the program of study. A
leave of absence does not permit the student to exceed the limit time for the program.
 A student may not receive financial aid during the leave of absence period, given that the student is not registered during
that time.
(Graduate Studies – General Regulations, Article 7.9)

I wish to take a leave of absence from my Fall Winter Summer


studies for the following semester(s):

The reasons in support of my request are as follows:

Student’s signature Date

PROGRAM APPROVAL

Leave of absence from studies approved for Fall Winter Summer


the following semester(s):

Research supervisor’s signature and date Research co-supervisor’s signature and date

Signature of the Graduate Programs Coordinator Date

RESERVED FOR USE OF THE REGISTRAR’S OFFICE

Leave of absence approved for the following Fall Winter Summer


semester(s):
Leave of absence from studies refused for the following reasons:
____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

Authorized signature for the Registrar’s Office Date

ES-ET.04F c. c.: Registrar – Student – Department


(08-2008)
Z:\intraPoly\DEF\registrariat\documents actifs\UsageGrandPublic\SiteWebEtudes\formulaires_procedures\etudes_superieures\interruption_etudes-ANG.doc

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