Get Loa Form

Completing the Leave of Absence (Loa) Form online is a straightforward process that requires attention to detail. This guide will walk you through each section of the form, ensuring you provide the necessary information for a successful application.

Follow the steps to complete the Loa Form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in your personal details, including your name and Banner ID number. Ensure that this information is accurate as it is essential for processing your request.
3. Provide your permanent address. If your current address differs from your permanent address, fill in that information as well.
4. Enter your contact number while on the Leave of Absence. This number should remain available during your leave.
5. Indicate the end date of your most recent rotation and the name of the hospital where you completed it.
6. Specify the start and end dates you are requesting for your Leave of Absence.
7. Check all applicable reasons for your leave from the provided options, noting that these reasons will not appear on your transcript.
8. Provide a detailed description of your reasons for the leave, enabling the Dean of Students to make an informed decision. Use additional pages if required.
9. Acknowledge the impact of the LOA on your tuition by confirming discussions with Student Finances.
10. If you receive loans or scholarships, ensure that you have communicated with the respective offices to understand the implications of your LOA.
11. Review all student acknowledgments and confirm your understanding. Provide your signature and the date at the end of the form.
12. Once completed, save changes to the form. You may have the option to download it, print it, or share it as needed.

Begin filing the Loa Form online today to take the necessary steps for your Leave of Absence.