Application for Leave of Absence

Things to consider prior to taking a leave

We care about you and your success! Any student who is considering a leave or withdrawal should speak to the Dean of Academic Planning & Advising, Dean of Students, the enrollment specialist, an advisor, or other college employee before applying for the leave or withdrawal.

Leave of Absence

Occasionally, students may need to take off a semester or two because of personal circumstances (e.g., financial/family concerns, employment opportunities, travel, etc.). An approved leave of absence maintains your matriculated status during the leave period. Your leave may be granted for up to two semesters, and you will not need to apply for readmission to register for classes in your return semester.

If you are experiencing a medical issue, please follow the checklist here to request a medical leave of absence.
Your leave is effective the date that the completed, signed form is received at the Admissions Office. This effective date is used for calculating billing and refunds, and for assessing financial liability. Students can review the financial liability deadlines at the Student Accounts website.
Students who request a leave before the last day of classes are assigned W grades. Leaves are not granted after the last day to withdraw from courses.
Academic dismissal or disciplinary suspension will supersede any leave request.
If you do not plan to return from your leave, you will need to officially withdraw. Otherwise, you will be administratively withdrawn from the college and must submit a completed application for readmission to return to the college as a degree-seeking student.

For questions, please email loa-withdrawal@geneseo.edu

First Name

Middle Name

Last Name

Geneseo ID

Date of Birth

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Phone:

Are you interested in an appointment to discuss options and answer questions?

Yes

No

Select one:

What date did you last participate in class?

Enter semester

Will you be returning to SUNY Geneseo?

Yes

No

Semester/year you plan to return
*If you plan to live on campus when you return from your Leave, contact Residence Life, 585-245-5851

If you are a financial aid recipient (loans, grants and/or scholarships), have you contacted the Financial Aid Office about the effects of a leave of absence on your aid?

I have already contacted the Financial Aid Office

I plan to contact the Financial Aid Office

I am not a financial aid recipient

If leaving before completing the current semester, have you reviewed the College's financial liability policies and/or discussed your leave of absence request with the Student Accounts Office?

I have already contacted the Student Accounts Office and understand the finaicial liability policies

I plan to contact the Student Accouns Office

Not applicable

Do you currently live on campus?

Yes

No

Please reach out to the Residence Life Office to let them know you will not be returning to campus.
(585)245-5726
reslife@geneseo.edu

Reason(s) for Leave (hold Ctrl to select more than one option)

*Required Approval form(s) must be completed. Contact Academic Advising office, Erwin Hall 106, 585-245-5541.
*If you have applied to graduate and your graduation date is changing, and/or you are completing your final degree requirement(s) while on this Leave, see Graduation Records, Erwin Hall 106C, 585-245-5543.

College attending

*Required Approval form(s) must be completed. Contact Academic Advising office, Erwin Hall 106, 585-245-5541.
* If you are eligible for financial aid and wish to use your financial aid while on Leave of Absence, you must contact Office of Financial Aid, Erwin Hall 104, 585-245-5731.

College attending

Will you be studying abroad under the sponsorship of a non-SUNY institution during your Leave?

Yes

No

College

Please specify

Important Information

Without special authorization, students taking a Leave of Absence after the established withdrawal deadline will receive E grades.
An Academic Dismissal will void a Withdrawal
If you receive financial aid, please be aware that certain laws may affect your aid, resulting in a financial liability to SUNY Geneseo. Federal law mandates how a school must compute the amount of federal financial aid a student earns if he/she withdraws (officially or unofficially), takes a leave of absence, drops out of school, or is dismissed prior to completing more than 60% of the semester. Specifically, the amount of federal financial aid that the student earns is based on the percentage of the semester completed. All unearned federal financial aid must be returned, while the semester's expenses may not change. Careful consideration should be given to the financial ramifications of separating from the college prior to completing 60% of the semester. Additional information regarding this policy is available form the Office of Student Accounts (Erwin Hall 103, 585-245-5621), and you are encouraged to consult with them and the Office of Financial Aid (Erwin Hall 104, 585-245-5731) prior to reaching a decision.

By typing my name below, I signify that that I intend to take a leave of absence from SUNY Geneseo. I understand that if I plan to resume my studies, I must submit an application for readmission.

Date