Fill - Free fillable 2. Newadmitstudents(firstyear)whowithdrawforANYreasonintheirfirstsemesterarenoteligibleforaLeaveofAbsence. OfficialLeaveOfAbsenceForm RegistrarsOffice 222St.PatrickStreetToronto,ONM5T1V4 regoffice@mic PDF form

OfficialLeaveOfAbsenceForm

Registrar’sOffice

222St.PatrickStreetToronto,ONM5T1V4

regoffice@michener.ca│1(416)596‐3117or1(800)387‐9066

OfficialLeaveOfAbsenceForm 1of2 23‐Jan‐2020

Date Received

Office Use Only

StudentswhoareingoodstandingmayrequestaLeaveofAbsencefromtheirprogramofstudyduetoprolongedillness,injury,

orduetopersonalcircumstanceswhichmakeittemporarilyimpossibletocontinueintheirprogram.Requestsaretobe

submittedtotheProgramChairforapproval.Studentsmustmeetwiththe Chairandshouldbepreparedtoprovidesupporting

documentstotheChair.

Notes:

1. StudentsapprovedforLOAwhoare onOSAP

willhaveOSAPnotifiedoftheirenrolment change.

2. Newadmitstudents(first‐year)whowithdrawforANYreasonintheirfirstsemesterarenoteligibleforaLeaveofAbsence.



StudentName–Last,FirstMiddle StudentNumber



Address(Number,Street,Unit) City Province PostalCode

 

TelephoneProgramName Term

ProgramChair’sReviewofRequest DocumentationSupportingLeaveofAbsence:



_______________________________________________________________________________________________

 ProgramChairSignature Date LastDayofAttendance

_________________________________________________________________ ______________________________

 Processeddate ProcessedbyRRO ProcessedbyAdmissions

ReviewedbyRegistrarorFAO:__________________________



Denied.Reason:

___________________________________________________________________________________________

Approved. ExpectedTerm/YearofReturn*:_______________  ________________



Term(e.g.FA,WI,SU) AcademicYear(e.g.2019/20)

*Studentmustpaythe$500.00non‐refundabledepositatleastthree(3)monthspriortoSemesterstartorMay1forFallSemester.

ConditionsforReadmission: ___________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

IM, PRGM, BB, LR, HS, SSN, ADM Notified

OfficialLeaveOfAbsenceForm 2of 2 2‐Apr‐19

Withdrawal&RefundSchedule

Timeline Academic

Penalty

Refund

Beforetheofficialstartofclassesuptotheendofthe10

dayofthesemester. None 100%Refund*

Fromthe11

dayofthesemestertotheendof the20

dayofthesemester. WGrades 60%Refund*

Afterthe20

dayofthesemester,butbeforetheendofthe7

weekofthesemester. WGrades None

Afterthe7

weekofthesemesteruntilthelastdayofthe semester. WF Grades None

Afterthelastdayofthesemester. Nowithdrawal None



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2. Newadmitstudents(firstyear)whowithdrawforANYreasonintheirfirstsemesterarenoteligibleforaLeaveofAbsence. OfficialLeaveOfAbsenceForm RegistrarsOffice 222St.PatrickStreetToronto,ONM5T1V4 regoffice@michener.ca1(416)5963117or1(800)3879066 (The Michener Inst

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