Leave Request

Leave Request Form (PDF), revised 3/25/15*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 prior to the first semester out.  If a student used a one semester leave, a Leave Request would be due before the start of the subsequent semester.

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

  • One Semester Leave
  • First-Semester Leave
  • Primary Caregiver Leave
  • Health Leave
  • Military Leave
  • Planned Student Educational Leave
  • International Student Leave
  • Withdrawal from the University