Readmission Application - Personal Leave of Absence

Williams College
Dean's Office

PERSONAL LEAVE READMISSION FORM

Requests for Readmission for the Fall semester they must be submitted by July 1, Spring semester must be submitted by December 1

Please refer to this checklist. Your application may be put into "pending" status if you have any of these issues.

Questions or concerns should be directed to Cyndi Haley, Program & Administrative Manager, Dean's Office (chaley@williams.edu).

Date/Time

:

Name*

First Name

Last Name

Willliams Student ID # *

Email*

Phone*

Date of Leave*

Requesting Readmission for:*

Fall Semester Spring Semester Winter Study (by CAS permission only)

Please provide a brief statment indicating what you did while on leave and why you are ready to return and complete your degree requirements*

Academic*

I do not have any course deficiencies I have one or more course deficiencies

Any academic deficiencies must be made up before you return to Williams with courses that must have been pre-approved by the Registrar.

If you do have one or more course deficiencies, have you made them up with a pre-approved course/s or are you currently taking a course? Please explain.

Financial

Have you applied for Finacial Aid?*

Yes No not applicable

Other:

Apply for Financial Aid

Financial Aid Forms and Helpful Resources

Do you have a balance due on your account from the term prior to withdrawal? *

No Yes

Other:

If yes, you will need to make arrangements with the Student Accounts office (planger@williams.edu) regarding paying your balance in advance or with your term bill.

Do you have default status on a student loan?*

No Yes

Other:

If yes, you will need to make arrangements with the Student Accounts to address this issue.

Are you an International Student?

No Yes

Signature*

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Use your mouse or finger to draw your signature above