Leave of Absence Request (International Students)

Use this form if you are an international student (F1/J1 visa holder) and plan to either take time off from studying at Boise State University or take online courses from outside the U.S.

Leave of Absence or Request to Withdraw

Name * Required
First Last
Student ID number * Required
What is your city of birth? * Required
Please check that your computer does not auto-fill this field with "Boise"
Boise State Email Address * Required
I will not be attending on-campus classes starting from * Required
Please indicate when you will stop attending classes on campus.
Date I plan to leave the US (or date you left the US, if you've already left) * Required
Month
Day
Year
I would like to return to Boise State in the future * Required
- Yes
- No
Semester and Year I would like to return
I am planning to take online courses during this time away from campus * Required
- Yes
- No
Do you have a signature in the travel endorsement section of your I-20 (page 2)? * Required
- Yes
- No
What date is the travel signature? - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
I am transferring to another US university * Required
- Yes
- No
When do you plan to start at the new US university? * Required
Comments or questions for International Student Services
For example, please let us know if you would like to meet with an ISS advisor about this process.
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