Application for Student Leave of Absence

(LOA)

Office of the Registrar, 100 International Drive, 5th Floor, Baltimore, MD 21202, Phone: 410-234-9250, Fax: 410-800-4096, Email:carey.registration@jhu.edu.

Leave of absence (LOA) is a period of time that a student is expected to be away from his/her enrollment in classes at the Johns Hopkins Carey Business School while maintaining an active status. Leaves should be timed, whenever possible, to come at the end of a term, preferably at the end of a full academic year. On the recommendation of the academic adviser, school administrator or request by the student, a LOA may be granted to students in good academic standing. Leaves are granted when the student will not be actively pursuing an academic course of study in a term (fall or spring) to fulfill degree requirements.

Students on leave are not enrolled or registered students for the period of the leave. While on LOA, students do not have student privileges – access to University services or facilities. If the student does not return to the academic program after the designated leave, his or her student record is made inactive. In order to return to academic work at a time later than first approved, the student must formally reapply for resumption of studies. In some cases, return from leave may be contingent upon academic, medical, or psychological evidence that the student is ready to return to study.

Hopkins Student ID #: ______________

Name: _______________________________________________________________________________________ (Please Print) Last First Middle Phone number:__________________________ E-mail address: _______________________________

I am requesting a leave of absence for the Fall/Spring semester of _______ returning Fall/Spring ______. year year

Reason for absence (check one): Medical Condition1 Personal or Family Hardship Military Service2

Explanation: __________________________________________________________________________________

_____________________________________________________________________________________________

The last day I intend to work in any way toward the completion of my degree prior to starting LOA will be ____________. I estimate the completion of all my remaining degree requirements by __________.

mm/dd/year mm/year

Have you previously been approved for a leave of absence? Yes No

Which degree are you seeking? MSMBA BSGraduate Cert.

Are you an international student? Yes3 No

Are you currently receiving financial aid? Yes4 No (Funds issued by the Financial Aid Office in the form of loans, grants, scholarships, work study, etc..)

Student’s Signature: __________________________________________________ Date ___________________

Adviser’s Signature: ___________________________________________________ Date ___________________

Registrar’s Signature: __________________________________________________ Date ___________________

1 A letter from a physician is required for medical condition. 2 Documentation substantiating military service requirement is required. 3 Office of International Services Representative’s signature required for international students. 4 Financial Aid Representative’s signature required for students receiving financial aid.

. REV.03/2017