Bennington College | Office of the Provost and Dean | One College Drive, Bennington, Vermont 05201-6003 | 802-440-4400
LEAVE OF ABSENCE APPLICATION
Name: ___________________________________________Date: ______________________________
Date you entered Bennington: __________________________________________________________
Current Term: ________________________________________________________________________
Current Faculty Advisor: ______________________________________________________________
Campus house/address: _______________________________________________________________
Permanent Address: __________________________________________________________________
City: __________________________________ State: ______________________Zip: ______________
Phone #: ________________________________Email: ______________________________________
I plan to be on leave for the following term(s): Fall __________ Spring ____________
I plan to return: Fall ___________ Spring ____________
Please note: Students cannot be officially registered in an FWT experience while on leave. If you are considering Field Work
Term-eligible work during your Leave, please review the FWT Requirements outlined in the FWT Handbook. The FWT Office
will review your work experience with you upon your re-entry and determine whether it is eligible to fulfill one of your FWT
graduation requirements retroactively. Please contact fwt@bennington.edu for details.
Please summarize your reasons for taking a Leave of Absence:
When you were choosing colleges, was Bennington your first choice? Yes No
Please mark below the importance of the following factors in your decision to leave:
My experience of Bennington’s academic programs:
Major reason Minor reason Not a reason
If you checked major or minor reason, please comment.
Quality of my academic performance:
Major reason Minor reason Not a reason
If you checked major or minor reason, please comment.
Are there any resources that could have helped you improve your academic performance?