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Student Financial Aid Office
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Applying for Aid
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Dates and Deadlines
Step 1: File the FAFSA
Step 2: Complete My Financial Aid File
Step 3: Report Other Aid
Step 4: Award Notification
Step 5: Compare Award Letters
Special Financial Aid Options
Verification
General FAQ
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About the Student Financial Aid Office
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Scholarship and Covenant Leave of Absence Request Form
Scholarship and Covenant Leave of Absence Request Form
Full Name:
Student ID Number:
Indicate type of scholarship:
Please Select
Trustees
Porter
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UofL Grant
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Transfer
Indicate the semester(s) you are requesting the Leave of Absence (check all that apply)
Fall Only
Spring Only
Fall and Spring
Please indicate the year of the semester(s) you are requesting the Leave of Absence:
Please indicate the semester in which you intend to return to the university:
for example, Fall 2023 or Spring 2023
Fall 2023
Spring 2024
Fall 2024
Attach a typewritten letter that explains the issues or unusual circumstances surrouding your request.
Attach supporting documentation. This must be provided in order to receive full consideration for a Leave of Absence request.
Examples of documentation are as follows: doctor's statement, medical bills, and/or documentation regarding the issue that requires you to make this request
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.