Office of Admissions and Records
University of Nevada, Reno/MS 0120 - 775-784-4700 - Fax: 775-784-4283
Leave of Absence Request
All requests must be submitted (complete with all appropriate signatures) no later than the end of late registration
for the term requesting to go on leave.
Eligibility for the Leave of Absence program is subject to the following conditions:
1. Be a degree-seeking student.
2. Be registered during the semester immediately prior to the beginning of the Leave of Absence.
a. A student who was admitted as a new first semester freshman or transfer student but did not attend will not be
eligible for a Leave of Absence.
b. A student who was readmitted but did not attend will not be eligible for a Leave of Absence.
3. Be in academic good standing, on probation or on continuing probation with his/her college.
4. Have no holds (e.g. disciplinary, financial, testing, etc.) which would restrict registration. Note: Students with financial holds
may be given consideration for a Leave of Absence if authorized by the Cashiers Office.
5. Have submitted any outstanding high school and/or transfer transcripts, if prior admission and/or continued enrollment was
contingent upon receipt of those transcripts.
A student placed on a leave of absence will continue to receive all communications from the university as an active student. They
may also log in to MyNEVADA to view transcripts and make changes to personal information.
Please Note: You will be placed on Leave of Absence for all currently active academic programs and you must not be
enrolled in a future term.
Name
NSHE ID
Signature Date
Requesting a Leave of Absence Starting:
Fall Spring
Year:
Expected Date of Return:
Fall Spring
Year:
Reason for Leave:
Military Deployment
Mission
Peace Corp, Americorps, etc
Other personal reasons
Do you have a Financial Hold?
Yes No
(To see if you have a financial hold on your record please check your Student Center in MyNEVADA. Students with financial holds must have the
Cashier's Office approval prior to submitting this form to Admissions and Records.)
Cashier's Office Signature Date
Are you an International Student with an F1 or J1 Visa?
Yes No
International students must get OISS approval before returning this form to Admissions and Records.
International Student Advising Office Signature Date
Requesting an Extension for a current Leave of Absence:
Students requesting an extension beyond 2 consecutive terms are required to meet with a college/school representative for approval.
Expected Date of Return:
Fall Spring
Year:
Dean/Dean's Designee Signature Date
For Office Use Only
Approved
Denied
Evaluator Date
I have dropped all classes from all future terms I am currently registered for.
Leave of Absence Information:
