RAIS Temporary Leave of Absence (LOA) or Withdrawal Request

ctcLink ID(Required)

Name(Required)

First Last

BC Email(Required)

Personal Email(Required)

Degree or Certificate(Required)

Concentration(Required)

Certificate(Required)

Type of Leave(Required)

Please select if you will be taking a Leave of Absence or Withdrawing from the Program.

Start of Leave(Required)

Please provide the quarter you will be starting your leave or withdrawal (ie. Spring 2025)

End of Leave(Required)

Please provide the quarter you will be returning from leave (ie. Fall 2025). For temporary leave this cannot be longer than 2 quarters.

Reason for Leave(Required)

Additional Information or Comments

Electronic Signature(Required)

Date(Required)

Last Updated September 19, 2025

Available Forms