WITHDRAWAL / LEAVE OF ABSENCE FORM
If you have begun coursework at Aurora University and will be leaving the University, please complete this form and return it to the
Registrar’s Office. All refunds of charges will be based on the date of receipt of this completed form in the Registrar’s Office.
Name: _________________________________________________________ Student ID# ________________________________
Mailing Address: _____________________________________________________________________________________________
City_____________________________________________________ State________ Zip Code____________________________
Cell Phone ______________________________________________ Permanent Phone ___________________________________
E-Mail Address ______________________________________________________________________________________________
Major/Program __________________________________________
Advisor ___________________________________________
 Total Withdrawal
I do not plan to return to Aurora University
 Leave of Absence
I plan to return to Aurora University (required for Leave of Absence):
 Fall Term 20___
 Spring Term 20___
 May Term 20___
 Summer Term 20___
Will you be completing
the current term?
(response required if form is submitted
during the course of an academic term)
 Yes  No
Please see detailed descriptions of these two options on the reverse side of this form.
Please choose the reason(s) for your withdrawal/leave of absence from the University. This information will be used for
assessment and retention purposes.
_____ Cost/Financial Challenges
_____ Desired Academic Major Not Offered at AU
_____ Relocation/Moved Away
_____ Financial Aid Insufficient
_____ Dissatisfied with Aurora University Academics
_____ Career Indecision
_____ Insufficient Transfer Credits Accepted
_____ Dissatisfied with Aurora University Services
_____ Postponed Education
_____ Transferred to Another Institution
_____ Other:
____________________________________________________________________
Student Signature ___________________________________________________ Date __________________________________
(I have reviewed the University’s regulations governing Leave of Absence and Withdrawal and understand that I am bound by all provisions thereof.)
APPROVALS
Academic Advisor (required for undergraduate students to initiate withdrawal request) _______________________________________
Graduate Program Office (required for graduate students to initiate withdrawal request) ______________________________________
Student Accounts Office (required for all students) ___________________________________________________________________
Financial Aid Office (required of all students holding student loans) ______________________________________________________
Director of Residence Life (required of all residential students) _________________________________________________________
Received and approved by the Registrar Office___________________________________________ Date _____________________
---OVER----
WITHDRAWAL REGULATIONS
This applies to students who matriculated, left the University in good academic standing, failed to register for more than one
term (excluding summer) and have not filed an Approved Leave of Absence form in accordance with the University policy.
1. Students applying for readmission are subject to the general admission standards of the University, the admissions
and progress standards of the program they seek to enter, and the catalog and regulations prevailing at the time of
readmission.
2. Application for readmission is made through the Office of Admissions. Official academic and financial aid transcripts
from all post-secondary institutions previously attended, including institutions attended prior to the student’s first
admission to Aurora University, may be required at the discretion of the Registrar. A new evaluation of transfer
credit will be conducted in accordance with regulations in effect at the time of readmission.
3. Submission of a completed Withdrawal / Leave of Absence form will result in the cancelation of all future course
registrations. When applicable, if student indicates that they do not intend to complete the current semester, the
student will be withdrawn from all current semester coursework in accordance with University regulations.
LEAVE OF ABSENCE REGULATIONS
Students wishing to interrupt their studies at Aurora University for more than one academic term (excluding May/Summer)
must file a Leave of Absence form with the Registrar’s Office in order to be able to resume studies under the catalog in
effect when they first entered.
1. Leaves may not be granted for an indefinite time period.
2. Leaves may be granted for up to two academic years (four terms excluding May/Summer).
3. After two consecutive terms (excluding May/Summer), student is subject to new program and general degree prior
requirements.
4. The completed Leave of Absence form must be filed with the Registrar’s Office no later than 10 working days prior
to the start of the term of your leave.
5. If student plans to attend another institution during a leave, a Petition for Prior Approval of transfer coursework
needs to be approved and on file with the Registrar’s Office. Without the Petition for Prior Approval on file,
enrollment at any other institution of post-secondary education during a leave of absence from Aurora University
automatically cancels all provisions of the leave of absence.
6. Students on leave for no more than one academic year (two consecutive terms) may return under the general
degree requirements originally applied to them and complete their studies in the program in which they were
enrolled without incurring an obligation of the part of the University to provide coursework or programs that have
been altered or discontinued in the interim.
7. Submission of a completed Withdrawal / Leave of Absence form will result in the cancelation of all future course
registrations. When applicable, if student indicates that they do not intend to complete the current semester, the
student will be withdrawn from all current semester coursework in accordance with University regulations.
8. Students may return to the University earlier than the term stated on the Leave of Absence form upon notification to
the Registrar’s Office prior to the beginning of the term.