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Leave of Absence (Use for a request of one year or longer)

First Name:
Last Name:
Email:
Degree:	Select MA in Applied Economics MS in Biotechnology MS in Bioinformatics MS in Bioscience Regulatory Affairs MS Biotechnology/MBA Certificate in Biotechnology Enterprise MA in Communication MA in Communication/MBA MS in Environmental Sciences and Policy MA in Government MA in Government/MBA MA in Liberal Arts MA in Museum Studies Certificate in National Security Studies MA in Writing
Leave from:	(mm/dd/yyyy)
Leave to:	(mm/dd/yyyy)
I plan to resume studies in:	Spring Summer Fall of (yyyy)
Please write a few paragraphs describing why you need the leave of absence.

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