Scholarship Leave of Absence form

Full Name *

Student ID

Indicate type of Scholarship

Please indicate the semester(s) and year(s) you are requesting the Leave of Absence:

Please indicate the semester and year that you intend to return to the University:

"STOP! The document upload tool on this form is not available. Please send all supporting documentation and a typewritten letter to lucas.willman@louisville.edu in the Financial Aid Office."

I certify that I have completed all of the necessary steps.

I understand that I must submit the request form, a type written letter, and all supporting documentation.

I understand that this form should only be used for scholarship purposes and that I am responsible for contacting all other university units that need to be made aware of my absence from the University of Louisville.

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