Get Leave Of Absence Request - Brown University

Filling out the Leave of Absence Request form at Brown University is an important step for users needing a break for personal or academic reasons. This guide provides clear and supportive instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete your leave of absence request.

1. Click the ‘Get Form’ button to access the Leave of Absence Request form and open it in your preferred document editor.
2. In the Student Information section, fill out your name, program or degree, Banner ID, entry year, date advanced to candidacy (if applicable), and indicate if you are a U.S. citizen or permanent resident. Provide your mailing address while on leave.
3. Move to the Terms of Request section. Select the leave period—either Fall, Spring, or Summer—and choose the type of request relevant to your situation.
4. Select the type of leave that applies to your request from the available options.
5. In the Acknowledgement of Reenrollment Fee section, check the appropriate box acknowledging the fee requirements upon your return from leave.
6. Provide a rationale or explanation for your leave in the designated field. If you need additional space, you may attach an extra sheet.
7. For signatures, you may enter your digital signature by typing your name below the designated line. Ensure to include the date of your signature.
8. If additional signatures are required, ensure that the relevant department chair, Director of Graduate Studies, and other offices provide their signatures in the designated spaces, along with the dates.
9. After completing all sections, save your changes. You can then download, print, or share the completed form as needed.

Begin filling out your Leave of Absence Request form online today.