Fillable 18 Withdrawl Leaveof Absence (West Georgia College)

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18 Withdrawl Leaveof Absence (West Georgia College)

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International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
WITHDRAWAL OR LEAVE OF
ABSENCE REQUEST
• Federal regulations required the University of West Georgia to update the SEVIS record of any F-1 or J-1 student
following a withdrawal or leave of absence prior to a student’s expected graduation date.
• Students who wish to return home or leave the country for a period of time (excluding summer semester) must fill out
this form and send it to the ISAP office.
• The ISAP office will give a recommendation of what to do with SEVIS records when you turn in this form.
• If this withdraw if for a medical reason in which you are staying in the USA, please use the Reduced Enrollment:
Medical Condition form.
• Do not drop your classes until this form has been approved by the ISAP office. If you do so, we have to initiative an
unauthorized withdrawal in the system.
STEPS FOR THE STUDENT:
Step 1: Contact your academic advisor, department chair, or professor who may make a recommendation if you are
eligible to return to your studies for your situation. If the advisor agrees to recommend reduced course load, fill out
sections 1, 2, and 3. Have your advisor fill out section 4 of this form.
Step 2: Contact the ISAP office who will review the recommendation and decide if there is enough evidence to approve
your withdrawal or leave of absence. We will also review your options with you to choose the best one.
Step 3: After the ISAP office approves the withdrawal, you can drop your classes. You must also leave the country.
SECTION 1: STUDENT INFORMATION
Student’s Family
Name (Last Name)
Student’s Given
Name (First Name)
Date of Birth
UWG Student ID
Phone Number
SEVIS ID Number
Email Address
Current Visa Status
F-1 Student J-1 Student Other Visa Type: Specify _______
917
N00
@my.westga.edu
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
SECTION 2: PROGRAM COMPLETION
Level of Study
Bachelors Masters PhD Certificate
First Semester of
Enrollment at UWG
Fall
Spring
Summer
YEAR: ________________
Semester(s) of Withdrawal or
leave of Absence
Fall
Spring
Summer
YEAR: ________________
Current I-20 Program
End Date
SECTION 3: WITHDRAWAL OR LEAVE OF ABSENCE
Reason for
Withdrawal or Leave
of Absence
Date of Withdrawal
from UWG
Date of US
Departure
Are you planning to
return to UWG?
YES
NO
UNSURE
Expected date of
Return to UWG
Statement of Understanding
I understand that I should not withdraw from classes or drop below full time enrollment before I meet with the
ISAP office. I also understand that once my I-20 is terminated, I must leave the USA.
Student’s Signature
Date
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signature
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International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
WITHDRAWAL OR LEAVE OF
ABSENCE REQUEST
Summary of the Regulation
• International students who are in the US in F-1 or J-1 status are required by law to pursue a full course of study every
semester of the academic year (Fall and Spring semester and Summer if it is the student’s first or last term of study).
• “Full-time student status” is 12 credit hours for undergraduates and 9 credit hours for graduates, as defined in the
UWG Course Catalogues
• The United States Citizenship and Immigration Services (USCIS) limits the reasons for a student to engage in less
than full-time enrollment to the ones listed on this form. Failure to comply with this law results in the student's SEVIS
record being terminated.
• Students can only use this option if the student plans to leave the country during their withdrawal from classes.
STEPS FOR THE ADVISOR/DEAN:
Step 1: Meet with the student about their course of study and make a decision on whether or not you feel the student’s
would be able to return to the UWG Academic Program they are enrolled in after their absence.
Step 2: If you feel the student’s curriculum can be continued after the absence, please fill out the portion below. Students
should submit the completed form to the ISAP office.
Step 3: After the ISAP office approves the reduced course load form, the student may withdraw from their classes, but
they must also leave the country.
SECTION 4: ACADEMIC ADVISOR OR DEAN RECOMMENDATION
I am aware of the circumstances above, have reviewed the educational implications, and certify that the
student would be eligible to return to UWG after the absence requested above.
Advisor’s Signature
Date
Printed Name
Title
Email
Extension
@westga.edu
9
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18 Withdrawl Leaveof Absence (West Georgia College)

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Completed 24 July 2020

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