Leave of Absence Request Form

California Intercontinental University offers students in good academic and financial standing the opportunity to request a Leave of Absence (LOA) to accommodate unforeseen circumstances. LOAs can be requested for no more than one term (6 weeks) per academic year. The deadline to request a LOA is Monday of the last week of the term, or the 6th Monday of a term.

Eligibility for Leave
In order to request LOA, students must be in good standing and have completed the first three terms or one semester of their program. Military students are eligible for extended LOAs if deployment documentation is submitted. Requests for LOA under extraordinary circumstances will be evaluated on a case-by-case basis upon submission of supporting documentation and letters

View our entire Leave of Absence Policy in the CIU Catalog: CIU Academic Catalog

Section A: Student Information

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Section B: Reason for Request

I am requesting this Leave of Absence due to (select one): *
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Section C: Student Signature

I understand that I must contact Student Accounts to ensure that I am current with, or have a plan to become current with, all my financial obligations to the University.
 
I certify that to the best of my knowledge, the information provided in this application is true and accurate, and I have read and I understand the Leave of Absence policy information provided.
Student Signature *
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The deadline is Monday on the 6th Week of current term. Exceptions may be made only if there were valid extenuating circumstances.