Honors Program Sabbatical Request
WHY A SABBATICAL REQUEST?
Honors students need to take at least 3 units of Honors coursework credit each semester to stay
in the program. If, for whatever reason, you are unable to take 3 units of Honors credit one
semester, you need to fill out a "Sabbatical Request" form and deliver it to the Honors
Coordinator(s) to indicate that your break from the Program is temporary and you still wish to
remain an active member.
NAME:
STUDENT ID: PHONE:
ADDRESS:
E-MAIL:
SEMESTER YOU ENTERED THE HONORS PROGRAM:
SEMESTER SABBATICAL REQUESTED:
SEMESTER REQUESTING TO RETURN TO HONORS PROGRAM:
COMPELLING REASON WHY YOU ARE UNABLE TO TAKE AN HONORS CLASS
THIS SEMESTER:
Student Signature: ________________________________________Date: __________
Honors Program Coordinator: _______________________________Date: __________
If you are submitting a printed copy of the form, please sign & date. If you are submitting a digital copy via email, print name & date in form fields above.