Leave of Absence


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. 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: 8b0b4cbb27ecf39d16942f1a0a55870d6b0cb529
Timestamp Audit
November 19, 2019 4:12 pm EDTLeave of Absence Uploaded by Cassie Black - [email protected] IP 99.190.9.234
December 16, 2019 5:31 pm EDTEnrollment Agreements - [email protected] added by Joel Nivens - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 5:33 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
May 1, 2020 2:28 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 71.143.223.187
June 5, 2020 1:19 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 71.143.223.187
July 21, 2020 6:44 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
September 10, 2020 2:53 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
September 18, 2020 1:23 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
April 6, 2022 9:23 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
April 6, 2022 9:24 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234