Leave Request

Leave Request Form (PDF), revised 6/2/11*type on this form*
Please read instructions carefully. File a Leave Request if you are planning to be out for two or more consecutive semesters, with a maximum allowed of four semesters. A Leave Request must be submitted before the start of your second semester out.

Before submitting this form, please review University Policy regarding Leave of Absence and Withdrawal by following these navigation steps:  1) go to  SJSU Catalog, 2) click "SJSU Policies and Procedures", 3) click " Undergraduate Information and Requirements", 4) click "Leave of Absence and Withdrawal". You will see the following policies' links:

  • One Semester Leave
  • Health Leave
  • Military Leave
  • Planned Student Educational Leave
  • Leave for International Students
  • Withdrawal from the University