Leave of Absence Form

Student Name:  

Location:  

Instructor:  

Program:

Class Day of Week: Time of Class:  

Date of Class Start:

Last Date of Attendance (Todays Date):

 

By digital signing this document you are agreeing to and understand the TMIKY Leave of Absence rules and regulations that have been laid out in the TMIKY Catalog. You also are signing with the understanding that you still have to complete all financial obligations including loan payments while on this Leave of Absence. After submission this document will be sent to the proper channels for approval. Your TMIKY representative will reach out once approved. Please email us at [email protected] if more guidance is needed. 

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Signature Certificate
Document name: Leave of Absence
lock iconUnique Document ID: e5d76c12cfb7b761ad5fa72bac03e89181a31ade
Timestamp Audit
August 19, 2022 2:14 pm GMTLeave of Absence Uploaded by Greg Goins - [email protected] IP 99.190.9.234
August 19, 2022 2:14 pm GMTEnrollment Agreements - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234