Northern Illinois University

Graduate School

Leave of Absence

Fields marked with * are required.
Student Information
  1. *
  2. *  
Major/Specialization Information
  1. *
  2. *
  3. *
  4. *
  5. *    
Leave of Absence Information
  1. *
  2. *    
  3. *
  4. *    
  5. *
Student Signature
  1. By entering my name below, I affirm my understanding that during my leave of absence I will not have access to the resources of the university. I understand that my leave is granted only for the period agreed to. I acknowledge that a leave of absence exempts me from the continuous enrollment policy but not from the limitation of time to degree.
  2. *
  3. *