Leave of Absence Request
Leave of Absence Request Name:
Student ID or last 4 SSN:
Start Date:
Reentry Date:
Reason for Leave of Absence
Course Availability
Family Medical Leave
Other
If Other, please explain in detail:
Acknowledgements Upon submitting this Leave of Absence request, I acknowledge: 1) 2) 3) 4) 5) 6)
LOAs may not exceed 180 Days cumulatively and/or individually. The LOA request will be submitted no later than 14 days after a break in attendance. LPC will notify me of the acceptance or denial of an LOA. An approved LOA will only apply to the dates listed in an LOA accepted letter. I have read and understand the attached LOA policy. If I do not return as listed on this LOA and on an approved LOA letter. a. Federal Financial Aid will be reviewed for the process of Return to Title IV as stated in the student handbook. b. Student financial aid grace periods may be reduced based on an unapproved break.
I understand the above acknowledgements and am requesting an official leave of absence.
Signature
Date
Final approval of an LOA request is determined by the Financial Aid Department. Please fax completed form to 909-706-3031 or email to [email protected] LOADCPMASL 3/19/2013
Leave of Absence (LOA) Policy Policy Modular programs require students to be considered out of attendance for financial aid purposes when they have a break over 45 days. Students with a break of only 45 days are eligible to state in writing that they will return before the 45 day window in order to be considered in attendance. Breaks that are over 45 days will be considered withdrawn. Due to the modular nature of MASL and DCP, students may have circumstances that lead to them needing a break that is greater than 45 days. These circumstances may include, but are not limited to: 1) 2) 3) 4)
Transfer coursework Non-passing grades Family emergencies LPC Scheduling Related
Although FSA guidelines state that a written confirmation of return does not apply to breaks greater than 45 days, the FSA handbook page 5-61, paragraph 2 states for non-term modular programs that: A student is considered to have withdrawn from the program if the student is not scheduled to begin another course within the payment period or period of enrollment for more than 45 calendar days after the end of the module the student ceased attending, unless the student is on an approved leave of absence. (emphasis added) Per USDE FSA Guidelines, authority exists for LPC to develop a written policy for LOAs. This policy is developed for the modular programs of MASL and DCP. The intent behind this policy is to allow for students who meet specific criteria, that are beyond their control, to be considered enrolled under an approved leave of absence for FSA purposes. Approved leave of absences may not exceed 180 days in a revolving 12 month period, beginning with the start of a student’s LOA. Failure to return from an LOA as approved, will result in the student’s withdrawal date being listed as the day after their last date of attendance and will result in a Return to Title IV (R2T4) Calculation. A student must submit an LOA request form prior to the last date of attendance, unless unforeseeable circumstances cause prevent them from sending the request sooner. Failure to submit an LOA request within 14 days of the end of a course will result in a student being considered withdrawn for FSA purposes. Students will receive notification from the Financial Aid Office’s decision to approve or deny a student’s LOA request.
LOADCPMASL 3/19/2013
Student ID or last 4 SSN:
Start Date:
Reentry Date:
Reason for Leave of Absence
Course Availability
Family Medical Leave
Other
If Other, please explain in detail:
Acknowledgements Upon submitting this Leave of Absence request, I acknowledge: 1) 2) 3) 4) 5) 6)
LOAs may not exceed 180 Days cumulatively and/or individually. The LOA request will be submitted no later than 14 days after a break in attendance. LPC will notify me of the acceptance or denial of an LOA. An approved LOA will only apply to the dates listed in an LOA accepted letter. I have read and understand the attached LOA policy. If I do not return as listed on this LOA and on an approved LOA letter. a. Federal Financial Aid will be reviewed for the process of Return to Title IV as stated in the student handbook. b. Student financial aid grace periods may be reduced based on an unapproved break.
I understand the above acknowledgements and am requesting an official leave of absence.
Signature
Date
Final approval of an LOA request is determined by the Financial Aid Department. Please fax completed form to 909-706-3031 or email to [email protected] LOADCPMASL 3/19/2013
Leave of Absence (LOA) Policy Policy Modular programs require students to be considered out of attendance for financial aid purposes when they have a break over 45 days. Students with a break of only 45 days are eligible to state in writing that they will return before the 45 day window in order to be considered in attendance. Breaks that are over 45 days will be considered withdrawn. Due to the modular nature of MASL and DCP, students may have circumstances that lead to them needing a break that is greater than 45 days. These circumstances may include, but are not limited to: 1) 2) 3) 4)
Transfer coursework Non-passing grades Family emergencies LPC Scheduling Related
Although FSA guidelines state that a written confirmation of return does not apply to breaks greater than 45 days, the FSA handbook page 5-61, paragraph 2 states for non-term modular programs that: A student is considered to have withdrawn from the program if the student is not scheduled to begin another course within the payment period or period of enrollment for more than 45 calendar days after the end of the module the student ceased attending, unless the student is on an approved leave of absence. (emphasis added) Per USDE FSA Guidelines, authority exists for LPC to develop a written policy for LOAs. This policy is developed for the modular programs of MASL and DCP. The intent behind this policy is to allow for students who meet specific criteria, that are beyond their control, to be considered enrolled under an approved leave of absence for FSA purposes. Approved leave of absences may not exceed 180 days in a revolving 12 month period, beginning with the start of a student’s LOA. Failure to return from an LOA as approved, will result in the student’s withdrawal date being listed as the day after their last date of attendance and will result in a Return to Title IV (R2T4) Calculation. A student must submit an LOA request form prior to the last date of attendance, unless unforeseeable circumstances cause prevent them from sending the request sooner. Failure to submit an LOA request within 14 days of the end of a course will result in a student being considered withdrawn for FSA purposes. Students will receive notification from the Financial Aid Office’s decision to approve or deny a student’s LOA request.
LOADCPMASL 3/19/2013
