Skip to main content

Leave of Absence Return Form

Before submitting a request for return from leave of absence, you must review the School of Nursing Return from Leave of Absence policy here. If you have any questions prior to submitting your request, please contact the Office of Student Services at advisor@nursing.upenn.edu

(Street, City, State, Zip Code)
Include the following in your answer, as applicable: How has your leave helped you prepare yourself to resume your studies? Why do you feel that you will succeed if permitted to return? What plans do you have to seek academic and/or personal support (such as tutoring, counseling, help with learning skills, help with time management) upon your return?
(This can be general, with a detailed plan of study after the return is approved)