Notice of Departure or Leave of Absence

To accurately maintain F-1 or J-1 status, students and exchange visitors must inform the Office of International Student Services of early departure or extended leave of absence from the United States. Please complete this form if you intend to leave the United States for one of the following reasons: 1) Request a leave of absence for one or more terms during which you would otherwise be required to be enrolled; 2) Depart the US following early completion of your program; 3) Discontinue your program or practical training prior to completion. If you are outside the U.S. for 5 months or more, you must apply for a new visa to reenter the U.S. Please contact the Office of International Student Services two months prior to your scheduled return to verify that your I-20 or DS-2019 is valid for reentry.