Revised Program Plan Request

Revisions are subject to course availability, prerequisite requirements, and academic factors. In some cases, not all parameters of the request can be met.

Name*
First Last
UID*

Enter your UID number without dashes or hyphens.
BU Email*
Alternate Email*
Phone*
Format: (###) ###-####
Advisor*
First Last
Entering Cohort*

Year and Semester you first began taking classes Format ex. - 2014 Fall Jan start = Spring semester; May start = Summer semester; Sep start = Fall semester
Semester Currently Enrolled*

Look to your current program plan and count how many semesters you have completed and include the current semester.
What are you requesting to change and when?*
Are you planning to take or are you currently taking a leave of absence (LOA)?*
- Yes
- No
- Maybe
Leave of Absence (LOA)
Please fill out the following information if you plan to take or are currently taking a leave of absence (LOA).
When do you plan to take a LOA? Please note Semester and Year. If you do not know, write "unsure". If you attempting to return from a LOA, please write "current".

Year and Semester you first began taking classes Format ex. - 2014 Fall Jan start = Spring semester; May start = Summer semester; Sep start = Fall semester
Have you submitted a Withdrawal/Leave of Absence form yet?
- Yes
- No
If you would like to download or fill out an LOA form now, click here.
If you would like to submit the LOA form now, you may upload it by clicking Choose File below.
Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.
When do you plan to return to the program from the LOA? Please note Semester and Year. If you do not know, please write "unsure".

Year and Semester you first began taking classes Format ex. - 2014 Fall Jan start = Spring semester; May start = Summer semester; Sep start = Fall semester
Email
This field is for validation purposes and should be left unchanged.

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Leave of Absence (LOA)

Upcoming/Events

10

Jun