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?
Bennington College | Office of the Provost and Dean | One College Drive, Bennington, Vermont 05201-6003 | 802-440-4400
My experience of Bennington’s residential/social life:
Major reason Minor reason Not a reason
If you checked major or minor reason, please comment.
Financial issues:
Major reason Minor reason Not a reason
If you checked major or minor reason, please comment.
Have you met with anyone from the Financial Aid Office to discuss your concerns?
Health issues:
Major reason Minor reason Not a reason
If you checked major or minor reason, please comment.
Personal issues (other than those already noted above):
Major reason Minor reason Not a reason
If you checked major or minor reason, please comment.
Please describe your plans for your time away from school.
If the College is in session, you must meet with an Academic Services staff member before leaving Bennington.
A Leave of Absence may affect your loan repayment if you have borrowed through the federal loan program. If
applicable, you will need to complete loan exit counseling at www.studentloans.gov.
To re-enter, you must apply in writing to the Provost and Dean’s Office by May 1 for the fall term, and November 1
for the spring term.
A transcript evaluation charge applies for all courses transferred in following a leave.
Student’s signature: ________________________________________Date: _____________________
Faculty Advisor’s signature: _________________________________Date: _____________________