Leave of Absence/Change of Program Request for a Leave of Absence or Change in M.S.J. Program Plan of Study Name * Email * Date of Birth (mm/dd) * Are you requesting a leave of absence from the program? * Yes No If you are requesting a leave of absence, for which semesters are you requesting leave? Are you requesting a change in your plan of study? * Yes No Why are you requesting a leave of absence or change in plan of study? * What is your current plan of study? (If not applicable, type N/A) * What plan of study are you requesting? (If not applicable, type N/A) * Note: Please make sure your current email and phone number are updated in Enroll & Pay.