Virginia Military Institute
Notice of Return from Leave
Cadet Name:___________________________________________ VMI ID# ___________________
Telephone:_________________ Email: ________________________________________________
(Street) (City) (State) (Zip)
Has your address changed since you were last at VMI? Yes No
Date Entered VMI:_______________________________ Date Left VMI:____________________
Type of Leave: Academic Leave Active Duty Medical Leave Administrative Leave
VMI Class:__________________ Academic Major:______________________________________
Semester that you wish to return: Fall Spring Year:____________
If you have completed a term at another school while you were on leave, please have an official
transcript sent to VMI, c/o Registrar's Office, 303 Shell Hall, Lexington, Virginia 24450.
Cadets on medical leave must forward all medical documentation to the VMI Hospital for
review and approval. Medical leave must be cleared by the VMI Physician before the return
from leave can be approved and processed.
I hereby affirm that I meet all institutional guidelines pertaining to VMI’s marriage and parenthood
policy, and have not been arrested for or convicted of a felony or misdemeanor other than a minor
traffic violation during my period of non-attendance.
Cadet's Signature:___________________________________ Date:_________________________
Received By:________________________________________ Date:_________________________
Hours Earned:_____________ Readmission Class:_____________ Notification Sent:___________
Updated 10/2010