Things to consider prior to taking a leave

We care about you and your success! Any student who is considering a leave is strongly
encouraged to make an appointment with the Enrollment Specialist, Lisa Bishop.
lbishop@geneseo.edu, 585 245-5463. Students can make an appointment through Navigate
with the following link:
https://geneseo.campus.eab.com/pal/-w5rXxrAVJ

Types of Leaves

A Regular Leave of Absence requires a minimum GPA of 2.0, with no pending academic dismissal or disciplinary action. Occasionally, students may need to take off a semester or two because of personal circumstances (e.g., financial/family concerns, employment opportunities, travel, taking courses at another institution to fulfill graduation requirements, etc.)

A Medical Leave of Absence requires submission of the medical leave form, authorization for release of information form, as well as specific documentation from your provider. In addition, documentation from your provider is also required in order to register and return to the college. Please refer to the Medical Leave of Absence webpage for more information.

Do you believe you are eligible and wish to apply for a Medical Leave of Absence? Please note that medical leave of absence does not excuse financial liability. Refer to the College’s financial liability policies for details.

Medical Leave Deadlines

Students who are eligible for a regular leave and have submitted the application indicating on the form that they plan to submit documentation for a medical leave request will have 30 days to submit the required documents.

Students who are not eligible for a regular leave and want to request a medical leave during a semester have 2 weeks to submit the required documentation, after the initial communication.

Students have 30 days from the notification of an approved regular leave to request the leave be changed to a medical leave. Required documentation must be submitted at the time of the request and it will be reviewed to see if it meets medical leave approval.

Please note that if a medical leave of absence is approved during the course of a semester, the College's financial liability policies will still apply.

Important Information

An approved leave of absence maintains your matriculated status during the leave period. Your leave may be granted for up to two semesters (does not include a partial semester that was not completed) and you will not need to apply for readmission in order to register for classes in your return semester.
To begin the official Leave of Absence process, students must submit this electronic
form. Your leave is effective on the date that the completed, signed form is submitted.
This effective date is used for assessing financial liability, and for determining eligibility
for federal, state and institutional financial aid (if applicable). Students can review
Geneseo’s financial liability deadlines at the Student Accounts website.
If a student wishes to take a Leave during a semester in progress, an application must
be filed before the published course withdrawal deadline to receive grades of “W”; if a
student applies for a Leave after this deadline, grades of “E” will be recorded in all
courses.
Academic dismissal or disciplinary suspension will supersede any leave request. Academic Dismissal will void a leave.
If you receive financial aid, and withdraw before completing the entire semester, 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. Please review Geneseo’s Return of Title IV funds policy for complete details. You are encouraged to consult with the Office of Student Accounts (Erwin Hall 103, 585-245-5621) or the Office of Financial Aid (Erwin Hall 104, 585-245-5731) prior to submitting this form.
For questions, please call the Enrollment Specialist Office 585 245-5463 or email loa-withdrawal@geneseo.edu

Additional Resources:
Financial Aid (Erwin Hall 104, 585-245-5731)
Student Accounts (Erwin Hall 103, 585-245-5621)
LOA Policies and Procedures (PDF)

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

If you are taking a leave still under the 2 year on-campus housing requirement, you will return under the same remaining requirement.

What semester and year do you plan to return to Geneseo? (you may request up to 2 semesters leave)
*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 financial liability policies

I plan to contact the Student Accounts 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

By typing my name below, I signify that I intend to take a leave of absence from SUNY Geneseo.

Date

Application for Leave of Absence

Things to consider prior to taking a leave

Types of Leaves

Important Information