Withdrawal / Leave of Absence Request Form

Withdrawal / Leave of Absence Request Form

INSTRUCTIONS FOR COMPLETING THIS FORM

Students who wish to withdraw from studies or take a leave of absence (hiatus) must complete this form in order to officially withdraw or declare that they are on leave of absence. The withdrawal date on record will align with the submission date for this form.

Non-attendance, email declarations, or declaration to an instructor or other designate at the institution does not constitute an official declaration. This form must be submitted in order to officially withdraw or take a leave of absence from studies.

A withdrawal or leave of absence can impact a student's eligibility for Canada Student Loan.

International students must also consider the impact of a leave of absence has on their permission to live, work, and study in Canada according to the terms of their study permit. A leave of absence can have a significant impact on their eligibility to apply for a Post-Graduate Work Permit once their studies have concluded.

It is important to discuss the impacts of a withdrawal or leave of absence with your Academic Advisor or a Regulated International Student Immigration Advisor (RISIA).

Tuition refunds and material fee reimbursements for students withdrawing from studies once a term has begun will be consistent with the posted refund dates. Students who withdraw completely from the current term before the 100% refund date will be charged a $100 withdrawal fee. See the NSCAD website on tuition fees for full fees, tuition, and refund dates.

A permanent mailing address is required for future communication.

Name Name First Last
Student ID
Month and Day of Birth (MM/DD)
Email
Permanent Mailing Address Permanent Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Are you a Domestic or International student?

Are you a Domestic or International student? Domestic (Canadian Citizen or Permanent Resident) International Student (studying in Canada under a valid study permit issued by the Canadian Government)

If you are an International Student, your decision to take a leave or permanently withdraw may have an impact on the conditions of your study permit and your ability to remain in Canada, as well as your eligibility for future immigration pathways such as the Post-Graduate Work Permit (PGWP). NSCAD's Regulated International Student Immigration Advisor (RISIA) will contact you via email before your request is processed to explain the implications of your decision.
Are you requesting a Leave of Absence from NSCAD University or a Permanent Withdrawal?

Are you requesting a Leave of Absence from NSCAD University or a Permanent Withdrawal? Leave of Absence Permanent Withdrawal
If you requested a Leave of Absence, please indicate your expected Semester of Return (for example, Winter 2027).
Student Program of Study

Student Program of Study Bachelor's Degree Master's Degree Visual Arts Certificate PBAC Exchange Student

Please check one.
Are you on a Canadian Student Loan?

Are you on a Canadian Student Loan? Yes No

Check one.
Reason for Withdrawal / Leave of Absence

Reason for Withdrawal / Leave of Absence Financial reasons Academic difficulty Medical Transfer to another institution Dissatisfied with the program Other (please specify)

Please select all that apply and elaborate in the text box below if you wish.
Details
Student Signature

Draw or Type

I understand that by submitting this signed form I am declaring my desire to withdraw or take a leave of absence from my studies at NSCAD University. There may be financial implications to my actions. If I have not yet discussed the implications of my withdrawal with my Academic Advisor, I will be contacted to discuss this further. I understand that returning to studies after more than one academic year may change my degree requirements. Clear

Full Name

I understand that by submitting this signed form I am declaring my desire to withdraw or take a leave of absence from my studies at NSCAD University. There may be financial implications to my actions. If I have not yet discussed the implications of my withdrawal with my Academic Advisor, I will be contacted to discuss this further. I understand that returning to studies after more than one academic year may change my degree requirements.