Colorado School of Mines Home Graduate School Home Education and research in engineering and applied science
CURRENT STUDENTS
Registration Policies
Graduation Information and Deadlines
Assistantship Policies
Thesis Information
  Thesis Writer's Guide
Academic Calendars
Graduate Student Association
Graduate Office Staff
Student Profiles
Graduate Contracts
Admission to Candidacy
Advisor/Thesis Committee
Graduation Application
Leave of Absence Request
Proprietary Research Agreement
Request for Waiver of Fees (Part-time students)
Statement of Work Completion
Thesis Defense Request
Withdrawal Request
OFFICE OF GRADUATE STUDIES
Request for Leave of Absence
  • In order to receive approval for a leave of absence, it is necessary that you complete the entire form and obtain the three/four required signatures BEFORE submitting this form to the Graduate Office.

  • Additionally, you MUST attach a plan (including a timeline and deadlines) for resuming and completing the work toward the degree in a timely fashion with this request or it will be denied.
Student Name:   CWID:
Advisor Name: Date:


I wish to request a leave of absence for Fall and/or Spring for the following reason(s):


Signature: _____________________________________
 

My forwarding address and email are:

email:

APPROVAL:
STUDENT MUST OBTAIN SIGNATURE APPROVAL FROM THE FOLLOWING BEFORE SUBMITTING TO THE OFFICE OF GRADUATE STUDIES:


_____________________________________
Advisor

_____________________________________
Department Head/Director

_____________________________________
Financial Aid

_____________________________________
International Office (students with visas only)


_________________
Date

_________________
Date

_________________
Date

_______________
Date

GRADUATE SCHOOL APPROVAL:

_____________________________________
Dean of Graduate Studies

 

_________________
Effective Date

Revised 07/05