Leave of Absence/ Withdrawal Official Request

Please note, the leave of absence / withdrawal official request form below is for use only by undergraduate degree candidates who have already discussed their plans, and related options and implications, with an associate director at the University Service Center, or who have scheduled an appointment for such a discussion.

If you have questions or concerns, you can always reach us by phoning 617-358-1818.

Please remember that tuition and fees are canceled in accordance with the University’s withdrawal and tuition refund / cancellation schedule.  

Required questions are marked with red asterisks (*)





Upon successful submission of this form you will be directed to a confirmation / thank you page. Please be patient as submission can take a few moments.