EdD Leave of Absence Request - Columbus State University

Doctoral Office of Advising and Records College of Education and Health Professions

EdD Leave of Absence Request

An EdD student may request a leave of absence from the EdD program by submitting this form to the Doctoral Office of Advising and Records prior to taking the leave of absence. The form must outline the rationale for requesting the leave of absence and specify the term in which the EdD student plans to return to the EdD program. The maximum duration for a leave of absence is 1 year or 3 full semesters. (Please note that a leave of absence from the EdD program may impact a

student's program sequence and delay degree progression).

This form should be completed by any individual who wants to request a leave of absence from the EdD Program.

Last Name Email Address Mailing Address City

First Name Phone Number

State

MI Zip Code

Requested Term(s) of Absence: Anticipated Return: Rationale for Requesting the Leave of Absence:

Signature of Student:

Approval Signature ? Director of Doctoral Program:

Date:

4225 University Avenue Columbus, GA 31907 TEL: (706) 565-1447 FAX: (706) 565-1422

(Revised 10/2020)

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